Individual
BROOKS A PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
109 NOBLE ST, SELLERSVILLE, PA 18960-2311
(215) 257-5170
(215) 257-9566
Mailing address
109 NOBLE ST, SELLERSVILLE, PA 18960-2311
(215) 257-5170
(215) 257-9566
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003137L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081163000
INDEPENDENCE BLUE CROSS
PA
05
—
041185035
—
PA
01
—
2701176
EVERCARE
PA
01
—
480006513
RAILROAD MEDICARE PALMETT
—
Enumeration date
08/07/2006
Last updated
09/29/2020
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