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Individual

DR. DOUGLAS AHERN PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
255 GLENDALE AVE., SUITE 12, SPARKS, NV 89431
(775) 356-8181
Mailing address
385 MUIRFIELD DR, PAWLEYS ISLAND, SC 29585-6714
(775) 737-3360

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006-00519
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5913808
NC
Enumeration date
11/03/2008
Last updated
07/06/2018
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