Individual
DR. JOHN ANDREW PETERY
Active
Individual
DR. JOHN ANDREW PETERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
409
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10387801
CAQH
NC
05
—
690193T
—
NC
05
—
890801U
—
NC
01
—
U22761
UPIN
NC
Enumeration date
05/08/2006
Last updated
10/08/2020
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