Provider Demographics
NPI:1508428624
Name:MULLER, PETER RAY (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:RAY
Last Name:MULLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 RIVERWAY
Mailing Address - Street 2:
Mailing Address - City:KIDMAN PARK
Mailing Address - State:SA
Mailing Address - Zip Code:005025
Mailing Address - Country:AU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MATERNAL-FETAL MEDICINE
Practice Address - Street 2:72 KING WILLIAM ROAD
Practice Address - City:NORTH ADELAIDE
Practice Address - State:SA
Practice Address - Zip Code:005006
Practice Address - Country:AU
Practice Address - Phone:040-771-6138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-29
Last Update Date:2019-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39370207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine