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Individual

PETER B DANE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2ND FLOOR PARKS HALL, ATHENS, OH 45701
(740) 593-2456
(740) 593-9630
Mailing address
2ND FLOOR PARKS HALL, ATHENS, OH 45701
(740) 593-2456
(740) 593-9630

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34-002297D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0403281
OH
Enumeration date
08/12/2005
Last updated
07/08/2007
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