Individual
DR. JOHN WILLIAM PETERS
Active
Individual
DR. JOHN WILLIAM PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD021153E
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD021153E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000003351
BLUE SHIELD
PA
05
—
0009152810
—
PA
01
—
075297
FIRST PRIORITY
PA
01
—
13223-1770
GEISINGER HEALTH PLAN
PA
01
—
1636787
BLACK LUNG
PA
01
—
290000700
RAILROAD MEDICARE
PA
Enumeration date
05/31/2006
Last updated
08/06/2020
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