Individual
MICHAEL JAMES PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24430 STONE SPRINGS BLVD, SUITE 215, DULLES, VA 20166-2268
(703) 858-3200
(703) 858-3203
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2700
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101275348
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629414131
—
VA
Enumeration date
05/13/2013
Last updated
11/29/2022
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