Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. WALTER J PETERS
Active
Individual
DR. WALTER J PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A50476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A504760
BLUE SHIELD
CA
05
—
00A504760
—
CA
01
—
00A504761
BLUE SHIELD
CA
05
—
00A504761
—
CA
01
—
H047
CITY/ COUNTY SAN FRAN.
CA
Enumeration date
07/05/2006
Last updated
09/11/2008
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