Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 2019-02065 | NC |
N | 207YS0123X | Facial Plastic Surgeon | 2019-02065 | NC |
NPI | 1225476609 |
---|---|
Provider Name | Dr. Robert Daniel Peters |
First Address | Raleigh, NC 27609-7798 |
Second Address | Raleigh, NC 27609-7798 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2013 |
Last Update Date | 06/03/2020 |