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Individual

JAMES L PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 W RAMPART ST, STE 210, SHELBYVILLE, IN 46176-8897
(317) 398-0121
(317) 398-2335
Mailing address
30 W RAMPART ST, STE 210, SHELBYVILLE, IN 46176-8897
(317) 398-0121
(317) 398-2335

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026337A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100321420A
IN
01
P00459131
RAILROAD MEDICARE PIN
IN
Enumeration date
05/23/2005
Last updated
01/14/2014
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