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Contact Information

JEFFREY S PETERSON, MD
701 WELCH RD BLDG C
PALO ALTO, CA94304-1713
 Phone: 650-906-4014
 Fax: 650-498-7748
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY S PETERSON · (Male)

NPI Number 1538240098
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2006
Last updated 05/24/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A065906
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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