Individual
PETER V VIRIASSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-7146
(717) 267-7728
Mailing address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS015065
PA
207P00000X
Emergency Medicine Physician
OT012027
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102475631
—
PA
01
—
1589517
GATEWAY-WMG
PA
01
—
30076265
AMERIHEALTH MERCY-WMG
PA
01
—
309385
UNISON-WMG
PA
01
—
415247
UPMC-WMG
PA
Enumeration date
05/18/2008
Last updated
01/09/2021
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