Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 39203 | NC |
Y | 208600000X | Surgeon | 39203 | NC |
N | 2086S0129X | Vascular Surgeon | 39203 | NC |
NPI | 1023002979 |
---|---|
Provider Name | Peter Muller |
First Address | Jacksonville, FL 32256-6017 |
Second Address | Roanoke Rapids, NC 27870-4956 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2005 |
Last Update Date | 06/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1143058 | CIGNA HEALTHCARE (01) | NC |
20024554 | RAILROAD MEDICARE (01) | NC |
41517 | MEDCOST (01) | NC |
61326 | BCBSNC (01) | NC |
8961326 | (05) | NC |
B67482 | (02) | NC |