Individual
DR. PETER EDWIN DEGRAZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3102 PLANK RD STE 600, FREDERICKSBURG, VA 22407-4954
(540) 786-3405
Mailing address
9200 HARVEST OAK DR, FREDERICKSBURG, VA 22407-9214
(540) 322-3813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001181
VA
152W00000X
Optometrist
14132
CA
Other
Enumeration date
06/24/2010
Last updated
06/25/2013
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