Organization
RAY E PETERS DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY SCHRACK (CREDENTIALING)
(208) 664-4026
Entity
Organization
Contact information
Practice address
221 PHYSICIANS PARK, POPLAR BLUFF, MO 63901-3956
(573) 778-9422
(573) 778-9963
Mailing address
PO BOX 996, HAYDEN, ID 83835-0996
(208) 664-4026
(855) 532-5921
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
R2C32
MO
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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