Individual
DR. DAVID WILLIAM PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 PHYSICIAN DR, CLYDE, NC 28721-8486
(828) 564-9222
(828) 564-9228
Mailing address
32 PHYSICIAN DR, CLYDE, NC 28721-8486
(828) 564-9222
(828) 564-9200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9801441
NC
207R00000X
Internal Medicine Physician
132483
NC
207RC0000X
Cardiovascular Disease Physician
Primary
132483
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126HP
—
NC
Enumeration date
09/20/2006
Last updated
09/05/2023
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