| Middle River to Pandino | 4,193.36 mi (6,748.56 km) |
| Middle River to Paola | 4,690.40 mi (7,548.46 km) |
| Middle River to Parabiago | 4,162.43 mi (6,698.79 km) |
| Middle River to Parabita | 4,756.78 mi (7,655.29 km) |
| Middle River to Parma | 4,246.32 mi (6,833.79 km) |
| Middle River to Partanna | 4,609.76 mi (7,418.69 km) |
| Middle River to Partinico | 4,608.23 mi (7,416.22 km) |
| Middle River to Pasian di Prato | 4,326.43 mi (6,962.71 km) |
| Middle River to Paterno | 4,708.00 mi (7,576.80 km) |
| Middle River to Patti | 4,689.13 mi (7,546.42 km) |
| Middle River to Paullo | 4,186.38 mi (6,737.33 km) |
| Middle River to Pavia | 4,183.27 mi (6,732.32 km) |
| Middle River to Pavullo nel Frignano | 4,283.69 mi (6,893.94 km) |
| Middle River to Pedara | 4,713.69 mi (7,585.95 km) |
| Middle River to Pellezzano | 4,582.83 mi (7,375.35 km) |
