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Individual

DR. PETER ANTHONY VENEZIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
301 ANDREWS AVE, FORT RUCKER, AL 36362-7193
(334) 255-7000
Mailing address
301 ANDREWS AVE, FORT RUCKER, AL 36362-7193
(334) 255-7000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051097
GA
207R00000X
Internal Medicine Physician
4395
OH
207R00000X
Internal Medicine Physician
Primary
DO224
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009932186
AL
01
51529577
BCBS OF ALABAMA
AL
Enumeration date
09/08/2005
Last updated
05/04/2026
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