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Individual

DR. DENNIS HOWARD PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4724 N DAVIS HWY, PENSACOLA, FL 32503-2339
(850) 696-4000
(850) 607-7317
Mailing address
4724 N DAVIS HWY, PENSACOLA, FL 32503-2339
(850) 696-4000
(850) 607-7317

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0019981
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
058644700
FL
01
109947
AL MEDICAID- BREWTON
AL
01
111054
AL MEDICAID- NORTH DAVIS
AL
Enumeration date
12/29/2005
Last updated
04/07/2011
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