Healthcare Provider Details

I. General information

NPI: 1053370288
Provider Name (Legal Business Name): DAVID ERIC PELTZER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 09/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 W 1ST ST
NEWTON NC
28658-4238
US

IV. Provider business mailing address

767 W 1ST ST
NEWTON NC
28658-4238
US

V. Phone/Fax

Practice location:
  • Phone: 828-465-3928
  • Fax: 828-465-3118
Mailing address:
  • Phone: 828-465-3928
  • Fax: 828-465-3118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number9401296
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: