Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW HUNTER PETERSEN, DO
Active Sole ProprietorANDREW HUNTER PETERSEN, DO is a Facial Plastic Surgery healthcare provider located in FAYETTEVILLE, West Virginia. NPI 1316212517 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · FAYETTEVILLE, WV
Registration Details
- NPI Number
- 1316212517
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2012 (14.415508048532 yrs)
- Last Updated
- Sep 17, 2020
- License
-
207YX0905X (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 W MAPLE AVEFAYETTEVILLE, WV, 258401445Browse WV providers · Browse ZIP 25840
- Phone
- 3049005511
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.