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Individual

DR. PETER GREGORY BALTUSNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
117 HOSPITAL DR, PETERSBURG, WV 26847
(304) 257-1026
Mailing address
117 HOSPITAL DR, PETERSBURG, WV 26847-9566
(304) 257-1026

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101267025
VA
207Q00000X
Family Medicine Physician
0101267025
VA
207Q00000X
Family Medicine Physician
Primary
23383
WV

Other

Enumeration date
06/28/2007
Last updated
03/07/2023
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