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Charles D Peterson, MD
Diagnostic Radiology Physician in Kettering, Ohio
NPI 1790731685

Charles D Peterson is a Diagnostic Radiology Physician based in Kettering, OH and is specialized in Diagnostic Radiology. Charles D Peterson practices in Kettering, OH and has the professional credentials of MD. The NPI Number for Charles D Peterson is 1790731685 and holds a License No. 35053561 (Ohio).

The current practice location address for Charles D Peterson is 3535 Southern Blvd, Kettering, OH and can be reached out via phone at 937-296-7211.

Location: 3535 Southern Blvd, Kettering, OH, 45429-8796
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790731685
Provider Name
Charles D Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3535 Southern Blvd, Kettering, OH, 45429-8796
Phone Number
937-296-7211
Fax Number
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0775951 05 OH
360003376 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
3535 Southern Blvd
City
Kettering
State
Ohio
Zip
45429-1221
Phone Number
937-296-7211
Fax Number
person
Provider Business Mailing Address Details
Address
3535 Southern Blvd
City
Kettering
State
Ohio
Zip
45429-1221
Phone Number
937-296-7211
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
35053561 (Ohio)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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