NPI 1104882596 DR. PHILLIP ALLEN PETERSON MD BLUEFIELD VA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Phillip Allen Peterson - NPI: 1104882596

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. PHILLIP ALLEN PETERSON
NPI Number: 1104882596
Entity Type Code: Individual (1)
Gender: M
Credentials: MD
License Number: 0101042606
Business Practice Address: 106 Huffard Dr
Bluefield, VA - 246059209
Business Phone Number: 2763223427
Business Fax Number: 2763224640
Mailing Address: 106 Huffard Dr,
BLUEFIELD
State: VA
Postal Code: 246059209
Phone Number: 2763223427
Fax Number: 2763224640
NPI Enumeration Date: 04/25/2006
NPI Last Update Date: 04/23/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207Q00000X
License Number: 0101042606
Healthcare Provider Taxonomy:
(Secondary)
Y
State: VA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Family Medicine
Taxonomy Specialization:
Taxonomy Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.


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