Individual
RICHARD BOYD PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
424 DIVISION ST, SUITE 100, SOUTH CHARLESTON, WV 25309-1400
(304) 766-4342
(304) 766-3541
Mailing address
424 DIVISION ST, SUITE 100, SOUTH CHARLESTON, WV 25309-1400
(304) 766-4342
(304) 766-3541
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19060
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088429000
—
WV
Enumeration date
09/01/2006
Last updated
07/08/2007
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