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Individual

DR. PETER R. PLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
505 POPLAR ST, MEADVILLE, PA 16335-3057
(814) 333-5875
(814) 333-5893
Mailing address
505 POPLAR ST, MEADVILLE, PA 16335-3057
(814) 333-5875
(814) 333-5893

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD043713E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011630920001
PA
01
070008157
PALMETTO GBA-RAILROAD MEDICARE
PA
01
205031
UPMC HEALTH PLAN
PA
01
251754199019
MEDICAL MUTUAL OF OHIO
PA
01
4235190002
NATIONAL SUPPLIERS CLEARINGHOUSE
PA
01
6371345
CIGNA
PA
01
902561
HIGHMARK BLUE CROSS SHIELD
PA
01
E15023
HEALTH AMERICA
PA
Enumeration date
05/31/2005
Last updated
06/09/2020
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