| Middle Valley to Penne | 5,039.40 mi (8,110.13 km) |
| Middle Valley to Pergine Valsugana | 4,796.54 mi (7,719.28 km) |
| Middle Valley to Perugia | 4,949.45 mi (7,965.37 km) |
| Middle Valley to Pesaro | 4,942.32 mi (7,953.90 km) |
| Middle Valley to Pescantina | 4,801.25 mi (7,726.87 km) |
| Middle Valley to Pescara | 5,051.66 mi (8,129.86 km) |
| Middle Valley to Peschiera del Garda | 4,795.29 mi (7,717.28 km) |
| Middle Valley to Pescia | 4,848.38 mi (7,802.72 km) |
| Middle Valley to Petilia Policastro | 5,291.71 mi (8,516.19 km) |
| Middle Valley to Piacenza | 4,766.65 mi (7,671.19 km) |
| Middle Valley to Pianella | 5,046.99 mi (8,122.35 km) |
| Middle Valley to Pianezza | 4,672.47 mi (7,519.61 km) |
| Middle Valley to Pianiga | 4,849.94 mi (7,805.23 km) |
| Middle Valley to Piano di Sorrento | 5,128.87 mi (8,254.11 km) |
| Middle Valley to Pianoro | 4,859.13 mi (7,820.02 km) |
