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1104882596
PHILLIP ALLEN PETERSON
PRINCETON, WV
NPI
1104882596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101042606)
Enumeration Date
2006-04-25
Last Update Date
2021-01-06
Business Address
Dr. PHILLIP ALLEN PETERSON MD
3997 BECKLEY RD
PRINCETON, WV 24740-7660
Phone number: 304-431-5499
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Mailing Address
Dr. PHILLIP ALLEN PETERSON MD
3997 BECKLEY RD
PRINCETON, WV 24740-7660
Phone number: 304-431-5499
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