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Individual
MR. DAVID P. PEASAK II
Active
Individual
MR. DAVID P. PEASAK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54117
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001722042
BCBS
WA
05
—
7103213000
—
WV
01
—
P00287918
RAILROAD MEDICARE
WV
01
—
WV54117
THP
WV
Enumeration date
06/08/2006
Last updated
08/18/2026
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