Provider Demographics
NPI:1235213281
Name:IRACE, PETER A (DO)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:A
Last Name:IRACE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 W TURKEYFOOT LAKE RD
Mailing Address - Street 2:STE D
Mailing Address - City:NEW FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44319
Mailing Address - Country:US
Mailing Address - Phone:330-645-1600
Mailing Address - Fax:330-645-1488
Practice Address - Street 1:611 W TURKEYFOOT LAKE RD
Practice Address - Street 2:STE D
Practice Address - City:NEW FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:44319
Practice Address - Country:US
Practice Address - Phone:330-645-1600
Practice Address - Fax:330-645-1488
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.033568207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology