Individual
DR. PHILLIP ALLEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3997 BECKLEY RD, PRINCETON, WV 24740-7660
(304) 431-5499
(304) 431-3400
Mailing address
3997 BECKLEY RD, PRINCETON, WV 24740-7660
(304) 431-5499
(304) 431-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101042606
VA
Other
Enumeration date
04/25/2006
Last updated
01/06/2021
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