Whalio Doctors

NPI 1104882596

Phillip Allen Peterson, MD

Practitioner Family Medicine Physician Princeton, WV

Practice location

Address
3997 Beckley Rd, Princeton, WV 24740-7660
Phone
(304) 431-5499
Fax
(304) 431-3400

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0101042606 (VA)

Registry record

NPI
1104882596
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Apr 2006
Record last updated
6 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.