Individual
PETER ALAN MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(817) 707-1474
Mailing address
PO BOX 581, FORT CAMPBELL, KY 42223-0581
(817) 707-1474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
54768
TN
207Q00000X
Family Medicine Physician
60021448
WA
207Q00000X
Family Medicine Physician
Primary
M-10849
ID
Other
Enumeration date
07/05/2008
Last updated
03/27/2026
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