Peter W Dicristina, M.D.

NPI #1093712044 in Longview, Washington

Provider Information

NPI Number: 1093712044
Entity Type: Individual
Name: Peter W Dicristina, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 6, 2005
Last Updated: Dec 18, 2007

Practice Location

Address: 1230 7TH AVE
City: Longview
State: Washington
ZIP Code: 98632-3198
Phone: (360) 636-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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