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Individual
DR. PAUL LEROY PETERS
Active
Individual
DR. PAUL LEROY PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05497
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431379
—
IA
01
—
18766
BLUE CROSS
—
05
—
2102442
—
IA
Enumeration date
10/17/2005
Last updated
10/18/2023
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