Individual
DR. JACOB MATTHEW PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7704
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(614) 738-2849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102210330
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/12/2025
Last updated
07/22/2026
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