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BRIAN S PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-6060
Mailing address
2206 N 179TH ST, OMAHA, NE 68116-2264
(970) 376-5425

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
TEP9013
NE
208600000X
Surgery Physician
R-11882
IA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/22/2020
Last updated
07/26/2021
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