Individual
DAVID R PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
891 NORFOLK SQ, NORFOLK, VA 23502-3209
(757) 461-0011
(757) 461-5762
Mailing address
4729 HAYGOOD POINT RD, VIRGINIA BEACH, VA 23455-4725
(804) 355-4358
(804) 355-5216
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101053653
VA
208D00000X
General Practice Physician
Primary
0101053653
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010015553
—
VA
Enumeration date
04/09/2007
Last updated
04/07/2021
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