Individual
DR. ROBERT PETERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
48 TUNNEL RD, SUITE 104, POTTSVILLE, PA 17901-3875
(570) 622-5555
(570) 622-2160
Mailing address
48 TUNNEL RD, SUITE 104, POTTSVILLE, PA 17901-3875
(570) 622-5555
(570) 622-2160
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD022759E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001178676
—
PA
Enumeration date
02/16/2006
Last updated
01/25/2011
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