# ROBERT E PETERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104936574
- **Gender:** Man
- **Credential:** PHD, M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | A63776 | CA | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 11/05/2021