Individual
DR. TIMOTHY M PEASAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1370 JOHNSON AVE, 1ST FLOOR, BRIDGEPORT, WV 26330
(304) 842-3330
(304) 842-3303
Mailing address
1370 JOHNSON AVE, 1ST FLOOR, BRIDGEPORT, WV 26330
(304) 842-3330
(304) 842-3303
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1942
WV
207P00000X
Emergency Medicine Physician
34.008542
OH
Other
Enumeration date
12/20/2006
Last updated
01/02/2025
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