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Individual

PETER A ERHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1835 E HIGH ST STE 2, SPRINGFIELD, OH 45505-1276
(373) 228-9779
(937) 322-5837
Mailing address
1835 E HIGH ST STE 2, SPRINGFIELD, OH 45505-1276
(937) 322-8977
(937) 322-5837

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35041542E
OH
207R00000X
Internal Medicine Physician
35041542
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000302747
ANTHEM
OH
01
000000302748
BCBS
05
0524043
OH
01
P00033391
MRDICARE RAIL ROAD
OH
01
P00034687
RAIL ROAD MEDICARE
Enumeration date
05/11/2006
Last updated
05/21/2024
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