Provider Demographics
NPI:1730296484
Name:HUNT, PETER WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:WILLIAM
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:995 POTRERO AVE
Mailing Address - Street 2:SFGH BUILDING 80, WARD 84
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:415-476-4082
Mailing Address - Fax:415-476-6953
Practice Address - Street 1:995 POTRERO AVE
Practice Address - Street 2:SFGH BUILDING 80, WARD 84
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:415-476-4082
Practice Address - Fax:415-476-6953
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA70944207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A709440Medicaid
H24512Medicare UPIN
CA00A709441Medicare ID - Type Unspecified