Grace C. Petterson MD

NPI 1013964980 - Specialist - 174400000X

NPI Details
NPI 1013964980
Gender Female
Enumeration Date 05/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1294 W 6TH ST
STE#102
SAN PEDRO CA, 90731-2987, US
Phone (310) 832-6487
Fax (310) 832-6913
Business Location
1294 W 6TH ST
STE#102
SAN PEDRO CA, 90731-2987, US
Phone (310) 832-6487
Fax (310) 832-6913
Toxanomy
Taxonomy Code 174400000X
License State California
License Number A34440
Remove 1013964980 NPI Number
 

According to our database, Dr. Grace C. Petterson MD NPI is 1013964980, taxonomy code is 174400000X and license number is A34440, license state is located at California. Grace C. Petterson MD physically located at 1294 W 6th St, San Pedro CA, 90731-2987. NPI Number Grace C. Petterson MD has the Individual type.

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1013964980 NPI number is provided on an as is basis without warranty of any kind. 1013964980 is maintained by the National Plan & Provider Enumeration System. The contents of Grace C. Petterson MD are for informational purposes only.