Individual
DR. EMILY MARIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2944 CLIFTON ST, INDIANAPOLIS, IN 46208-4938
(317) 957-2125
(317) 957-2135
Mailing address
3403 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 957-2000
(317) 957-2050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01078041A
IN
208000000X
Pediatrics Physician
01078041A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004778
—
IN
Enumeration date
05/16/2013
Last updated
10/09/2017
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