Jeannette Peterson in Fairfield - Internal Medicine
Jeannette Peterson - NPI 1063455954
Jeannette Peterson is a Internal Medicine in Fairfield, California. Jeannette Peterson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jeannette Peterson is 1063455954. The last update date is 2013-01-02.
Jeannette Peterson's current location address is 1261 Travis Blvd, Fairfield, California. You can contact this provider via phone number 7074220543 and fax number 7074220549. The mailing address for Jeannette Peterson is 1261 Travis Blvd, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannette Peterson |
|---|---|
| Address | 1261 Travis Blvd, Fairfield, California |
| Phone Number | 7074220543 |
| Fax Number | 7074220549 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063455954 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2013-01-02 |
Provider Mailing Address Detail
| Address | 1261 Travis Blvd |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945334897 |
| Phone Number | 7074220543 |
| Fax Number | 7074220549 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A76492 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identifier code assigned to Jeannette Peterson by the Centers for Medicare & Medicaid Services?
The Jeannette Peterson has been issued the NPI (National Provider Identifier) 1063455954 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jeannette Peterson located?
The Jeannette Peterson is located at 1261 Travis Blvd, Fairfield, CA 945334897.
What is Jeannette Peterson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeannette Peterson is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Jeannette Peterson receive its 1063455954 assignment from the Centers for Medicare & Medicaid Services?
The Jeannette Peterson was assigned its 1063455954 by the Centers for Medicare & Medicaid Services on 2006-06-14.
As of what date were the details related to Jeannette Peterson most recently updated or revised?
The information pertaining to Jeannette Peterson, including its address, specialty, and other relevant details, was last updated or revised on 2013-01-02.
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