David John Petersen in Cathedral City - General Practice

David John Petersen - NPI 1508932906

David John Petersen is a General Practice in Cathedral City, California. David John Petersen practices all healthcare services and medical treatments related to General Practice. The NPI Number for David John Petersen is 1508932906. The last update date is 2014-01-09.

David John Petersen's current location address is 68 708 Avenida Diosa, Cathedral City, California. You can contact this provider via phone number 8187817097 and fax number 8189040531. The mailing address for David John Petersen is 68 708 Avenida Diosa, Cathedral City, California. To know further, please read the information below!

Provider Profile Detail

Provider Name David John Petersen
Address 68 708 Avenida Diosa, Cathedral City, California
Phone Number 8187817097
Fax Number 8189040531
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1508932906
Provider Enumeration Date 2006-11-28
Last Updated Date 2014-01-09

Provider Mailing Address Detail

Address 68 708 Avenida Diosa
City Cathedral City
State California (CA)
Post Code 92234
Phone Number 8187817097
Fax Number 8189040531

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No G60655
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about David John Petersen

What is the unique identification code assigned to David John Petersen by the Centers for Medicare & Medicaid Services?

The David John Petersen has been issued the NPI (National Provider Identifier) 1508932906. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where David John Petersen is physically located?

The David John Petersen is situated at the following address: 68 708 Avenida Diosa, Cathedral City, CA 92234.

What is the David John Petersen's area of specialization and corresponding taxonomy classification?

The David John Petersen's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.

When did David John Petersen receive its 1508932906 assignment?

The David John Petersen was assigned its 1508932906 on 2006-11-28, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to David John Petersen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David John Petersen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-01-09.

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