Peter W Dicristina M.D.

NPI 1093712044 - Family Medicine - 207Q00000X

NPI Details
NPI 1093712044
Gender Male
Enumeration Date 07/06/2005
Last Updated 12/18/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1230 7TH AVE
LONGVIEW WA, 98632-3198, US
Phone (360) 636-2400
Fax
Business Location
1230 7TH AVE
LONGVIEW WA, 98632-3198, US
Phone (360) 636-2400
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Washington
License Number MD00047879
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According to our database, Peter W Dicristina M.D. NPI is 1093712044, taxonomy code is 207Q00000X and license number is MD00047879, license state is located at Washington. Peter W Dicristina M.D. physically located at 1230 7th Ave, Longview WA, 98632-3198. NPI Number Peter W Dicristina M.D. has the Individual type.

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1093712044 NPI number is provided on an as is basis without warranty of any kind. 1093712044 is maintained by the National Plan & Provider Enumeration System. The contents of Peter W Dicristina M.D. are for informational purposes only.