Individual
PETER W. JOSIMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 AMALIA DR, SUITE B-1, BUCKHANNON, WV 26201-2271
(304) 473-2200
(304) 473-2057
Mailing address
10 AMALIA DR, SUITE B-1, BUCKHANNON, WV 26201-2271
(304) 473-2200
(304) 473-2057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1619
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047938000
—
WV
Enumeration date
07/16/2006
Last updated
07/08/2007
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