Individual
DR. GREGORY MICHAEL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 N LOCUST ST, BUCKHANNON, WV 26201-2231
(304) 473-1440
Mailing address
84 JARRETT DR, BUCKHANNON, WV 26201-8917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24383
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810019868
—
WV
Enumeration date
04/02/2009
Last updated
07/01/2013
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