Individual
JOHN R PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 ASCOTT LN, OLNEY, MD 20832-2626
(301) 774-1350
Mailing address
2900 ASCOTT LN, OLNEY, MD 20832-2626
(301) 774-1350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101052347
VA
207Q00000X
Family Medicine Physician
Primary
D0042773
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0042773
PHYSICIAN LICENSE
MD
Enumeration date
09/23/2009
Last updated
09/23/2009
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