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Individual

PETER ARTHUR VAN HOUTEN

Active
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Individual

PETER ARTHUR VAN HOUTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32591
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085949
BCBS
VA
05
6301011
VA
05
7984725
NC
01
80015160
MEDICARE RAILROAD
NC
01
84725
BCBS
NC
Enumeration date
10/06/2005
Last updated
06/23/2008
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