DR. PHILLIP PETERSON, MD
Family Medicine
Active
Individual
NPI: 1104882596
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 0101042606 (VA) |
Frequently Asked Questions
NPI 1104882596 is the National Provider Identifier for DR. PHILLIP PETERSON, MD, a Family Medicine provider located in Princeton, WV. This NPI was enumerated on April 25, 2006.
DR. PHILLIP PETERSON, MD practices at 3997 BECKLEY RD, Princeton, WV 24740.
Quick Facts
- NPI
- 1104882596
- Type
- Individual
- Enumerated
- Apr 25, 2006
- Last Updated
- Jan 6, 2021
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