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Individual

DR. ERIC LEE PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
426 W MAIN ST, SALEM, VA 24153-3610
(540) 855-5100
(540) 387-3349
Mailing address
PO BOX 1789, ROANOKE, VA 24008-1789
(540) 855-5100
(540) 387-3349

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101275027
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497250252
VA
Enumeration date
03/26/2018
Last updated
08/11/2022
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