Individual
PETER N AULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 W POYTHRESS ST, HOPEWELL, VA 23860-2532
(804) 458-8557
(804) 541-7113
Mailing address
815 W POYTHRESS ST, HOPEWELL, VA 23860-2532
(804) 458-8557
(804) 541-7113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101029899
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005829062
—
VA
05
—
1134192602
—
VA
01
—
226152
ANTHEM
VA
Enumeration date
02/07/2006
Last updated
09/07/2010
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