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Individual
JOHN MICHAEL PETERS
Active
Individual
JOHN MICHAEL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N1834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0022467
INSTITUTIONAL PERMIT
—
Enumeration date
06/11/2007
Last updated
08/05/2010
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