| Doctor Name: | DR. ANN J PETERS |
| NPI Number: | 1417252685 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 243012-1 |
| Business Practice Address: | 2377 Gold Meadow Way Suite 100 Gold River, CA - 956704405 |
| Business Phone Number: | 9166311536 |
| Business Fax Number: | |
| Mailing Address: | 2377 Gold Meadow Way, Suite 100 GOLD RIVER |
| State: | CA |
| Postal Code: | 95670 |
| Phone Number: | 9166311536 |
| Fax Number: | |
| NPI Enumeration Date: | 01/20/2011 |
| NPI Last Update Date: | 01/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 243012-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |