RAY E PETERS DO INC NPI 1033536974

NPI Information

  • NPI: 1033536974
  • Provider Name: RAY E PETERS DO INC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 221 PHYSICIANS PARK
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 778-9422

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NPI Details

RAY E PETERS DO INC is a hematology and oncology internal medicine in Poplar Bluff, MO. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. RAY E PETERS DO INC NPI is 1033536974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

221 PHYSICIANS PARK
POPLAR BLUFF, MO
ZIP 63901-956
Phone: (573) 778-9422
Fax: (573) 778-9963

The provider's authorized official is Sandy Schrack .
The authorized official title is Credentialing and has the following contact phone number (208) 664-4026.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 3/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyR2C32MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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