Individual
PETER VIAVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
218 E LANGDON RD, WALLA WALLA, WA 99362-8593
(509) 525-5304
Mailing address
218 E LANGDON RD, WALLA WALLA, WA 99362-8593
(509) 525-5304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00030493
WA
Other
Enumeration date
10/12/2006
Last updated
08/28/2011
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