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Individual

DR. PETER BETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3300 RIVERMONT AVE, LYNCHBURG, VA 24503-2030
(434) 200-5999
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101230862
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010221005
VA
01
186457
ANTHEM PROVIDER NUMBER
01
203639329
PCHP PROVIDER NUMBER
01
203639329001
TRICARE PROVIDER NUMBER
01
2069439
CIGNA BEHAVIOR PROVIDER N
01
418874
VALUE OPTIONS PROVIDER NU
01
O84628
SENTARA/OPTIMA PROVIDER N
Enumeration date
07/21/2005
Last updated
03/08/2010
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