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Organization

JOHN D. PETERS, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN D PETERS M.D. (PRESIDENT)
(402) 397-1815
Entity
Organization

Contact information

Practice address
7802 DAVENPORT ST, OMAHA, NE 68114-3629
(402) 397-1815
(402) 397-0673
Mailing address
7802 DAVENPORT ST, OMAHA, NE 68114-3629
(402) 397-1815
(402) 397-0673

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
18103
NE

Other

Enumeration date
11/23/2009
Last updated
11/23/2009
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