SearchVirginia103TC0700X

Gregory Petersen, PHD

NPI 1275509804 · on the registry since 2006

Practice

Address
2017 Jefferson St Sw
Roanoke, VA 24014
Phone
(540) 981-7097
Organisation at this address
Carilion Medical Center
Carilion Medical Center
Carilion Medical Center
Carilion Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia