Individual
DR. CHARLES A PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PARK WEST BLVD, STE 150, AKRON, OH 44320
(330) 864-8060
(330) 864-8074
Mailing address
1 PARK WEST BLVD, STE 150, AKRON, OH 44320
(330) 864-8060
(330) 864-8074
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35029917
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000126054
ANTHEM
—
05
—
0153211
—
OH
Enumeration date
07/19/2006
Last updated
07/08/2007
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