person
Mr. Peter Boettger, PA
Medical Physician Assistant in Greenville, North Carolina
NPI 1174509541

Peter Boettger is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Peter Boettger practices in Greenville, NC and has the professional credentials of PA. The NPI Number for Peter Boettger is 1174509541 and holds a License No. 100862 (North Carolina).

The current practice location address for Peter Boettger is 600 Moye Blvd, Greenville, NC and can be reached out via phone at 252-744-2383 and via fax at 252-744-3565.

Location: 600 Moye Blvd, Greenville, NC, 28275-1069
person
Provider Profile Details
NPI Number
1174509541
Provider Name
Peter Boettger
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
600 Moye Blvd, Greenville, NC, 28275-1069
Phone Number
252-744-2383
Fax Number
252-744-3565
Provider Enumeration Date
12/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970005706 01 NC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
600 Moye Blvd
City
State
Zip
27858
Phone Number
252-744-2383
Fax Number
252-744-3565
person
Provider Business Mailing Address Details
Address
600 Moye Blvd
City
State
Zip
27858
Phone Number
252-744-2383
Fax Number
252-744-3565
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
100862 (North Carolina)
Definition
Definition to come...
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