Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 20A15614 | CA |
N | 207V00000X | Obstetrician & Gynecologist | 274346-216 | NY |
NPI | 1013356336 |
---|---|
Provider Name | Dr. Peter Ehren Sterbutzel |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Highland, CA 92346-2764 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2013 |
Last Update Date | 21/07/2017 |