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Individual

MR. DAVID P. PEASAK II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, NP

Contact information

Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1200
(304) 598-1699
Mailing address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1200
(304) 598-1699

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54117
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001722042
BCBS
WA
05
7103213000
WV
01
P00287918
RAILROAD MEDICARE
WV
01
WV54117
THP
WV
Enumeration date
06/08/2006
Last updated
04/22/2025
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