Pamela O Petersen is a Pediatrics in Davis, California. Pamela O Petersen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pamela O Petersen is 1255430716. The last update date is 2008-05-06.
Pamela O Petersen's current location address is 2330 W Covell Blvd, Davis, California. You can contact this provider via phone number 5307562364. The mailing address for Pamela O Petersen is 2330 W Covell Blvd, Davis, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Pamela O Petersen |
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Address | 2330 W Covell Blvd, Davis, California |
Phone Number | 5307562364 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1255430716 |
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Provider Enumeration Date | 2006-09-21 |
Last Updated Date | 2008-05-06 |
Provider Mailing Address Detail
Address | 2330 W Covell Blvd |
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City | Davis |
State | California (CA) |
Post Code | 956165658 |
Phone Number | 5307562364 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | A49282 |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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00A492820 | CA | -- | |
00A492820 | CA | BLUE SHIELD |
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What is the Pamela O Petersen's unique identification number?
The Pamela O Petersen has been assigned the NPI (National Provider Identifier) Number 1255430716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Pamela O Petersen?
The Pamela O Petersen is situated at 2330 W Covell Blvd, in the city of Davis, state of CA, with the zip code 956165658.
What is Pamela O Petersen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pamela O Petersen's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Pamela O Petersen receive the assignment of its 1255430716 from the Centers for Medicare & Medicaid Services?
The Pamela O Petersen was issued its 1255430716 by the Centers for Medicare & Medicaid Services on 2006-09-21.
As of what date were the Pamela O Petersen's details last updated?
The information pertaining to the Pamela O Petersen, including its address, specialty, and other details, was most recently updated on 2008-05-06.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY