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Individual

DR. JAMES A PEYKANU

Active
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Individual

DR. JAMES A PEYKANU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD150292
OR
2084F0202X
Forensic Psychiatry Physician
MD150292
OR
2084P0015X
Psychosomatic Medicine Physician
MD150292
OR
2084P0800X
Psychiatry Physician
22332
WV
2084P0800X
Psychiatry Physician
Primary
MD150292
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810012435
WV
05
500636385
OR
05
5006367411
OR
01
P00631474
RAILROAD MEDICARE PART B
WV
Enumeration date
05/29/2007
Last updated
08/27/2013
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