Mark S Peters, RD

NPI #1902096738 in Belleville, Illinois

Provider Information

NPI Number: 1902096738
Entity Type: Individual
Name: Mark S Peters, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Jul 27, 2007
Last Updated: Jul 27, 2007

Practice Location

Address: 211 S 3RD ST
City: Belleville
State: Illinois
ZIP Code: 62220-1915
Phone: (618) 234-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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