Individual provider · Type 1 NPI

Peter Boettger, PA

Medical Physician Assistant · Greenville, NC

NPI number 1174509541 Active

Practice location

600 Moye Blvd, Leo Jenkins Cancer Center
Greenville, NC 27858

Fax (252) 744-3565

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X100862 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1174509541

Peter Boettger, PA's National Provider Identifier is 1174509541, issued on Dec 19, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Greenville, NC. The record was last updated on Mar 4, 2015.