Individual provider · Type 1 NPI

Heidi Peters, PHYSICIAN ASSISTANT

Surgical Physician Assistant · Roanoke, VA

NPI number 1568007516 Active

Practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

2561 Inglewood Rd SW
Roanoke, VA 24015-4442

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1568007516

Heidi Peters, PHYSICIAN ASSISTANT's National Provider Identifier is 1568007516, issued on Nov 14, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roanoke, VA. The record was last updated on Dec 29, 2021.