Doctor Name: | DR. SCOTT G PETERS |
NPI Number: | 1427002757 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 36003015P |
Business Practice Address: | 730 Som Center Rd Suite 350 Mayfield Village, OH - 441432350 |
Business Phone Number: | 4409951111 |
Business Fax Number: | 4409951234 |
Mailing Address: | 730 Som Center Rd, Suite 350 MAYFIELD VILLAGE |
State: | OH |
Postal Code: | 441432350 |
Phone Number: | 4409951111 |
Fax Number: | 4409951234 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 36003015P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |