Richard Bertram Peterson in Santa Cruz - Diagnostic Radiology

Richard Bertram Peterson - NPI 1760496202

Richard Bertram Peterson is a Diagnostic Radiology in Santa Cruz, California. Richard Bertram Peterson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Richard Bertram Peterson is 1760496202. The last update date is 2008-05-09.

Richard Bertram Peterson's current location address is 1661 Soquel Dr, Santa Cruz, California. You can contact this provider via phone number 8314761542 and fax number 8314648977. The mailing address for Richard Bertram Peterson is 1661 Soquel Dr, Santa Cruz, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Bertram Peterson
Address 1661 Soquel Dr, Santa Cruz, California
Phone Number 8314761542
Fax Number 8314648977
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1760496202
Provider Enumeration Date 2006-07-28
Last Updated Date 2008-05-09

Provider Mailing Address Detail

Address 1661 Soquel Dr
City Santa Cruz
State California (CA)
Post Code 950651709
Phone Number 8314761542
Fax Number 8314648977

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No G28341
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G283410 CA --

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FAQs about Richard Bertram Peterson

What is the unique identification code assigned to Richard Bertram Peterson by the Centers for Medicare & Medicaid Services?

The Richard Bertram Peterson has been issued the NPI (National Provider Identifier) 1760496202. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Richard Bertram Peterson's physical address?

The Richard Bertram Peterson is physically located at 1661 Soquel Dr, in the city of Santa Cruz, CA, with the postal code 950651709.

What is Richard Bertram Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Richard Bertram Peterson's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

When was the Richard Bertram Peterson's 1760496202 issued?

The Richard Bertram Peterson's 1760496202 was issued on 2006-07-28.

When was the information regarding Richard Bertram Peterson most recently updated?

The details pertaining to the Richard Bertram Peterson, including its address, specialty, and other relevant information, were last refreshed on 2008-05-09.

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