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NPI Code Detail

MEDICARE: DENNIS ST. PETER M.D.

MEDICARE:   DENNIS  ST. PETER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG031432CA

General Provider Information

NPI Number : 1275608127
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS ST. PETER M.D.
Provider Business Mailing Address
First Line : 710 RIVER ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-2748
Country : US
Telephone Number : 831-423-1000
Fax Number : 831-423-1000
Provider Business Practice Location Address
First Line : 710 RIVER ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-2748
Country : US
Telephone Number : 831-423-1000
Fax Number : 831-432-1000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 07/09/2007

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Directions to “ DENNIS ST. PETER M.D.” Practice Location

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