Individual
DR. PETER BREWSTER LETARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 E APPLE ST STE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-2678
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036-071264
IL
207T00000X
Neurological Surgery Physician
Primary
35125071
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117951
—
OH
Enumeration date
08/24/2006
Last updated
03/17/2018
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