Individual
CALVIN PETER JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 N MAIN ST, LONDON, OH 43140-1115
(740) 852-1372
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35081241J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316736
BCBS
—
05
—
2363580
—
OH
Enumeration date
05/13/2006
Last updated
01/17/2013
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