# PETER W JUST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144312778
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 012720 | ME | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 09/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010501181 | TAX ID \# | ME |
| 01 | — | 024579 | ANTHEM | ME |
| 05 | — | 218270099 | — | ME |