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Individual
DR. EDWARD JOHN PETERS
Active
Individual
DR. EDWARD JOHN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
F7045
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6A7174
MEDICARE PTAN
TX
Enumeration date
08/09/2006
Last updated
02/06/2024
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