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Individual

DR. PETER STROGOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1359 OLD WATER WORKS RD SW, FORT PAYNE, AL 35968-3347
(256) 997-5900
Mailing address
1359 OLD WATERWORKS RD SW, FORT PAYNE, AL 35968-3347
(256) 997-5900
(256) 997-5995

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30426
AL
261QR1300X
Rural Health Clinic/Center
30426
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139791
AL
Enumeration date
07/07/2009
Last updated
08/11/2022
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