Individual
DR. BRANDON MARK PETERS
Active
Individual
DR. BRANDON MARK PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
052806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910878
—
AL
05
—
009910879
—
AL
05
—
009910881
—
AL
05
—
009910882
—
AL
05
—
009914027
—
AL
05
—
051540438
—
AL
01
—
51540438
BC/BS OF AL
AL
01
—
51540439
BC/BS OF AL
AL
01
—
51540440
BC/BS OF AL
AL
01
—
51540441
BC/BS OF AL
AL
01
—
51540442
BC/BS OF AL
AL
Enumeration date
10/05/2006
Last updated
09/07/2010
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