Individual
DR. JOHN GERARD PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 PENNSYLVANIA PKWY, STE 100, INDIANAPOLIS, IN 46280-1393
(317) 817-1200
(317) 817-1220
Mailing address
201 PENNSYLVANIA PKWY, STE 100, INDIANAPOLIS, IN 46280-1393
(317) 817-1200
(317) 817-1220
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01032191A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200081250A
—
IN
Enumeration date
07/28/2006
Last updated
09/14/2016
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