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Individual

DR. PETER SHELTON TRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16 N LA PLATA CT, LA PLATA, MD 20646-4283
(301) 392-3330
(301) 392-3950
Mailing address
PO BOX 2188, LA PLATA, MD 20646-2188
(301) 392-3330
(301) 392-3950

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101051792
VA
207X00000X
Orthopaedic Surgery Physician
Primary
D0046821
MD
207X00000X
Orthopaedic Surgery Physician
MD21013
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021729300
DC
05
147871100
MD
05
6402143
VA
Enumeration date
06/14/2005
Last updated
11/07/2013
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