Andrew Hunter Petersen
Otolaryngology/Facial Plastic Surgery
211 W Maple Ave
Fayetteville
, West Virginia 25840-1445
Andrew Hunter Petersen
Otolaryngology/Facial Plastic Surgery
211 W Maple Ave
Fayetteville
, West Virginia 25840-1445
(614) 771-9877
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Andrew Hunter Petersen
- 5378 Avery Rd
- Dublin, OH
- Zip : 43016-6933
- Fax : (614) 771-9877
- Phone : (614) 771-9871
Second Address
- Andrew Hunter Petersen
- 211 W Maple Ave
- Fayetteville, WV
- Zip : 25840-1445
- Phone : (304) 900-5511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 207YX0905X | OH |
National Provider Identifier
| NPI | 1316212517 |
|---|---|
| Provider Name | Andrew Hunter Petersen |
| First Address | Dublin, OH 43016-6933 |
| Second Address | Fayetteville, WV 25840-1445 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2012 |
| Last Update Date | 17/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.