Individual
MARY H. PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1239 SE INDIAN ST, 103, STUART, FL 34997-5633
(772) 219-4777
(772) 291-7845
Mailing address
1239 SE INDIAN ST, 103, STUART, FL 34997-5633
(772) 219-4777
(772) 291-7845
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K4912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1220949-10
—
TX
Enumeration date
08/14/2006
Last updated
07/11/2009
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