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Individual

DR. DARRICK PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
717 N 190TH PLZ, STE 1100, ELKHORN, NE 68022-3913
(402) 815-1700
(402) 815-1959
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1429
NE
207V00000X
Obstetrics & Gynecology Physician
BP10044115
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026301600
NE
05
10026480100
NE
05
1750643193
IA
05
47068731799
NE
Enumeration date
06/12/2012
Last updated
07/29/2016
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