Organization
SCOTT PETERS DPM CWS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT G PETERS DPM, CWS (OWNER)
(440) 995-1111
Entity
Organization
Contact information
Practice address
730 SOM CENTER RD, MAYFIELD VILLAGE, OH 44143-2350
(440) 995-1111
(440) 995-1234
Mailing address
730 SOM CENTER RD, MAYFIELD VILLAGE, OH 44143-2362
(440) 995-1111
(440) 995-1234
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003015P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2663809
—
OH
01
—
CK2777
MEDICARE RAILROAD
OH
Enumeration date
06/17/2006
Last updated
05/30/2008
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