Individual
DR. JUAN OBAR PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
141 E SUNBURY ST, SHAMOKIN, PA 17872-4823
(570) 644-0918
Mailing address
141 E SUNBURY ST, SHAMOKIN, PA 17872-4823
(570) 644-0918
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD014429E
PA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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