Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Petersen Clinic, PLLC

Organization Family Medicine Physician · NPI 1235169384

Petersen Clinic, PLLC is a Family Medicine Physician in Oak Hill, West Virginia. Licensed in West Virginia. Registered with an NPI since 2006.

Licensed in
WV
In the registry since
2006
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

119 Main St W Ste A
Oak Hill, WV 25901-2943
Phone: (304) 465-0544
Fax: (304) 465-8832
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 941 (WV)
Family Medicine Physician Taxonomy 207Q00000X · Licence 942 (WV)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1864 (WV)

Record details

NPI number1235169384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Petersen — Co-Owner · (304) 465-0544
NPI enumeratedJuly 4, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address119 Main St W, Suite A, Oak Hill, WV 25901-2943

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