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Individual

DR. PETER VW MIAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5000 VAN NUYS BLVD, SUITE 200, SHERMAN OAKS, CA 91403-1793
(818) 784-5300
(818) 784-5301
Mailing address
5000 VAN NUYS BLVD, SUITE 200, SHERMAN OAKS, CA 91403-1793
(818) 784-5300
(818) 784-5301

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G28541
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G285410
CA
Enumeration date
06/13/2006
Last updated
03/06/2008
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