Provider Demographics
NPI:1205096930
Name:MCINTYRE, PETER Z (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:Z
Last Name:MCINTYRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:620 JOHN PAUL JONES CIRCLE, BUILDING 2, 2ND DECK
Mailing Address - Street 2:ENDOCRINE & DIABETES CLINIC, NAVAL MEDICAL CENTER PORTS
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23708
Mailing Address - Country:US
Mailing Address - Phone:757-953-2116
Mailing Address - Fax:
Practice Address - Street 1:620 JOHN PAUL JONES CIRCLE, BUILDING 2, 2ND DECK
Practice Address - Street 2:ENDOCRINE & DIABETES CLINIC, NAVAL MEDICAL CENTER PORTS
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708
Practice Address - Country:US
Practice Address - Phone:757-953-2116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246064207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine