Individual
JEFFREY D PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3357
(800) 277-8151
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(888) 447-7220
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
52680
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2603260000
—
WV
Enumeration date
09/14/2005
Last updated
01/10/2020
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