Individual
DR. GEOFFREY MICHAEL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8080 BLUEBONNET BLVD, SUITE 2121, BATON ROUGE, LA 70810
(228) 767-7200
(225) 767-7386
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
202772
LA
207Y00000X
Otolaryngology Physician
PGY.LSUN.OTOLAR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035360
—
LA
Enumeration date
08/14/2007
Last updated
03/05/2024
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