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Individual

DR. GREGORY THOMAS PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 BELLEVUE MEDICAL CENTER DR, BELLEVUE, NE 68123-1591
(402) 361-5225
Mailing address
17030 LAKESIDE HILLS PLZ, SUITE 200, OMAHA, NE 68130-2396
(402) 361-5225

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28761
NE
2085R0202X
Diagnostic Radiology Physician
43107
IA
2085R0202X
Diagnostic Radiology Physician
A106752
CA

Other

Enumeration date
01/02/2008
Last updated
02/03/2016
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