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Individual

WALTER JAMES PETERS JR.

Active
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Individual

WALTER JAMES PETERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20269
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10045980A
OK
Enumeration date
07/17/2006
Last updated
10/27/2020
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