| Doctor Name: | ANTHONY G PETERS |
| NPI Number: | 1568461747 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 0484 |
| Business Practice Address: | 101 S Front St Chamberlain, SD - 573250027 |
| Business Phone Number: | 6052346584 |
| Business Fax Number: | 6052345002 |
| Mailing Address: | Po Box 27, CHAMBERLAIN |
| State: | SD |
| Postal Code: | 573250027 |
| Phone Number: | 6052346584 |
| Fax Number: | 6052345002 |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 05/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0484 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |