Dr. Brett M Peterson, MD
Orthopaedic Surgery, Sports Medicine in Orange, CA. Individual provider (NPI-1).
NPI number1770564718
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1770564718
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brett M Peterson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2005
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | A74745 | CA | Yes |
| 207XS0106X | Orthopaedic Surgery, Hand Surgery | A74745 | CA |
Practice location
200 N Lewis StOrange, CA 92868-1538
Phone 888-988-2800
Mailing address
200 N Lewis StOrange, CA 92868-1538
Phone 888-988-2800
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