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NPI Code Detail

MEDICARE: PETER THURA M.D.

MEDICARE:   PETER  THURA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101035163VA

General Provider Information

NPI Number : 1093998494
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER THURA M.D.
Provider Business Mailing Address
First Line : 6512 WALTERS WOODS DR
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22044-1425
Country : US
Telephone Number : 703-658-1593
Fax Number : 703-658-2364
Provider Business Practice Location Address
First Line : 6512 WALTERS WOODS DR
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22044-1425
Country : US
Telephone Number : 703-658-1593
Fax Number : 703-658-2364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2007
Last Update Date : 12/10/2007

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Directions to “ PETER THURA M.D.” Practice Location

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