Basic Information
| Provider Information | |||||||||
| NPI: | 1790939973 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOWIATT | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4750 HEMPSTEAD STATION DR | ||||||||
| Address2: | |||||||||
| City: | KETTERING | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454295164 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8008750136 | ||||||||
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| Practice Location | |||||||||
| Address1: | 332 CONGRESS PARK DR | ||||||||
| Address2: | PREMIER PHYSICIAN SERVICES | ||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454594133 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1800726362 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2008 | ||||||||
| LastUpdateDate: | 07/05/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 4299 | IA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 910 | NE | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 34.010548 | OH | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.