Search › California › 111N00000X

Bruce Peterson, DC

NPI 1538177530 · on the registry since 2006

Practice

Address
18080 San Ramon Valley Blvd
Suite 102
San Ramon, CA 94583
Phone
(925) 830-1011
Fax
(925) 830-1022
Organisation at this address
Custom Care Compounding Pharmacy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California