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NPI Code Detail

MEDICARE: PETER ALAN MIDDLETON M.D.

MEDICARE: PETER ALAN MIDDLETON 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
1207Q00000XFamily Medicine PhysicianM-10849ID
2207Q00000XFamily Medicine Physician54768TN

General Provider Information

NPI Number : 1467615930
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER ALAN MIDDLETON M.D.
Provider Business Mailing Address
First Line : PO BOX 581
Second Line :
City : FORT CAMPBELL
State : KY
Zip : 42223-0581
Country : US
Telephone Number : 817-707-1474
Fax Number :
Provider Business Practice Location Address
First Line : 650 JOEL DR
Second Line :
City : FORT CAMPBELL
State : KY
Zip : 42223-5318
Country : US
Telephone Number : 817-707-1474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2008
Last Update Date : 03/27/2026

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