Peterson, Todd Bailey

Peterson, Todd Bailey is an individual health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Peterson, Todd Bailey can be contacted via phone (619) 532-7577.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Phone: (619) 532-7577
Fax: (619) 532-7673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G83455 California
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X G83455 California

Profile Details

NPI number 1386640548
LBN Legal business name Peterson, Todd Bailey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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