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NPI Code Detail

MEDICARE: YUNA FARAH-PETERSON DPM

MEDICARE: YUNA FARAH-PETERSON DPM
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
1213E00000XPodiatrist10500WV

General Provider Information

NPI Number : 1972123149
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUNA FARAH-PETERSON DPM
Provider Business Mailing Address
First Line : 2520 VALLEY DR
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-2092
Country : US
Telephone Number : 304-675-4340
Fax Number :
Provider Business Practice Location Address
First Line : 2520 VALLEY DR
Second Line :
City : POINT PLEASANT
State : WV
Zip : 25550-2092
Country : US
Telephone Number : 304-675-4340
Fax Number : 304-675-2594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2020
Last Update Date : 05/16/2025

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Directions to “ YUNA FARAH-PETERSON DPM” Practice Location

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