NPI 1386640548
Todd Bailey Peterson, MD
Practice location
- Address
- 34800 Bob Wilson Dr, San Diego, CA 92134-1098
- Phone
- (619) 532-7577
- Fax
- (619) 532-7673
- Mailing address
- 197 Carnation Ave, Imperial Beach, CA 91932-1007
Registered specialties (2)
Colon & Rectal Surgery Physician
Primary
Surgery Physician
Registry record
- NPI
- 1386640548
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Jun 2005
- Record last updated
- 13 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.