Organization
PETERS DERMATOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD EUGENE PETERS JR. MD (AUTHORIZED OFFICIAL)
(541) 323-7546
Entity
Organization
Contact information
Practice address
2041 NE WILLIAMSON CT, STE B, BEND, OR 97701-3925
(541) 323-7546
(541) 323-4997
Mailing address
2041 NE WILLIAMSON CT, STE B, BEND, OR 97701-3925
(541) 323-7546
(541) 323-4997
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD25927
OR
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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