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Organization

PETER ROGER DEVERSA MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER ROGER DEVERSA MD (SOLE MEMBER)
(423) 802-0607
Entity
Organization

Contact information

Practice address
709 WALNUT ST, CHATTANOOGA, TN 37402-1916
(423) 643-2576
Mailing address
979 E 3RD ST, SUITE B-1001, CHATTANOOGA, TN 37403-2136
(423) 643-2576
(423) 648-4570

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
01/31/2011
Last updated
01/31/2011
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