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Individual
DR. SCOTT G PETERS
Active
Individual
DR. SCOTT G PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003015P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040884
—
OH
01
—
480029293
MEDICARE RAILROAD
OH
Enumeration date
05/20/2006
Last updated
05/30/2008
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