Provider Demographics
NPI:1225476609
Name:PETERS, ROBERT DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DANIEL
Last Name:PETERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4600 LAKE BOONE TR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607
Mailing Address - Country:US
Mailing Address - Phone:919-420-2027
Mailing Address - Fax:919-571-8135
Practice Address - Street 1:4600 LAKE BOONE TR
Practice Address - Street 2:SUITE 100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-420-2027
Practice Address - Fax:919-571-8135
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2024-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2019-02065207YS0123X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery