Individual
DR. PETER J ALASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
527 MEDICAL PARK DR STE 400, BRIDGEPORT, WV 26330-9010
(681) 342-3500
(681) 342-3507
Mailing address
527 MEDICAL PARK DR STE 400, BRIDGEPORT, WV 26330-9010
(681) 342-3500
(681) 342-3507
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2261
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002516572
BLUE CROSS BLUE SHIELD
WV
01
—
3810019085
MEDICAID
WV
01
—
4299681
MEDICARE PTAN
WV
01
—
9567452
AETNA
WV
Enumeration date
01/21/2008
Last updated
04/05/2022
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