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NPI Code Detail

MEDICARE: DR. PETER EHREN STERBUTZEL DO

MEDICARE:  DR. PETER EHREN STERBUTZEL  DO
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
1207V00000XObstetrics & Gynecology Physician274346-216NY
2207V00000XObstetrics & Gynecology Physician20A15614CA

General Provider Information

NPI Number : 1013356336
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER EHREN STERBUTZEL DO
Provider Business Mailing Address
First Line : 3400 DATA DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4240 HIGHLAND AVE
Second Line :
City : HIGHLAND
State : CA
Zip : 92346-2764
Country : US
Telephone Number : 909-864-4700
Fax Number : 909-864-4300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2013
Last Update Date : 07/21/2017

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Directions to “ DR. PETER EHREN STERBUTZEL DO” Practice Location

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