Individual
PETER P ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
802 LOCKWOOD AVE STE B, NEWPORT NEWS, VA 23602-4479
(757) 833-0911
(757) 833-1099
Mailing address
802 LOCKWOOD AVE STE B, NEWPORT NEWS, VA 23602-4479
(757) 833-0911
(757) 833-1099
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CP003566
VA
Other
Enumeration date
11/12/2007
Last updated
12/10/2007
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