Individual
JEFFERY ROBERT PEIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1587 BOETTLER RD, UNIONTOWN, OH 44685-7823
(330) 896-3447
(330) 896-9919
Mailing address
1587 BOETTLER RD, UNIONTOWN, OH 44685-7823
(330) 896-3447
(330) 896-9919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-009923
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
34-009923
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066341
—
OH
01
—
1467490961
GREEN PRIMARY CARE TYPE 2 NPI #
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
10/26/2007
Last updated
01/18/2013
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