Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 3250 | WV |
NPI | 1558660480 |
---|---|
Provider Name | Dr. Brian Patrick Peppers |
First Address | Morgantown, WV 26508-4210 |
Second Address | Morgantown, WV 26508-4210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2011 |
Last Update Date | 06/08/2018 |