MR. Robert M Peters JR., PA-C

NPI #1053493882 in Ft. Knox, Kentucky

Provider Information

NPI Number: 1053493882
Entity Type: Individual
Name: MR. Robert M Peters JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 851 IRELAND LOOP, CES, IACH
City: Ft. Knox
State: Kentucky
ZIP Code: 40121
Phone: (502) 624-9503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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