| Middle River to Penne | 4,482.89 mi (7,214.51 km) |
| Middle River to Pergine Valsugana | 4,243.32 mi (6,828.96 km) |
| Middle River to Perugia | 4,392.91 mi (7,069.71 km) |
| Middle River to Pesaro | 4,387.02 mi (7,060.23 km) |
| Middle River to Pescantina | 4,246.95 mi (6,834.80 km) |
| Middle River to Pescara | 4,495.32 mi (7,234.51 km) |
| Middle River to Peschiera del Garda | 4,240.83 mi (6,824.95 km) |
| Middle River to Pescia | 4,291.93 mi (6,907.19 km) |
| Middle River to Petilia Policastro | 4,733.37 mi (7,617.62 km) |
| Middle River to Piacenza | 4,211.13 mi (6,777.16 km) |
| Middle River to Pianella | 4,490.49 mi (7,226.75 km) |
| Middle River to Pianezza | 4,115.99 mi (6,624.05 km) |
| Middle River to Pianiga | 4,296.26 mi (6,914.16 km) |
| Middle River to Piano di Sorrento | 4,570.78 mi (7,355.96 km) |
| Middle River to Pianoro | 4,303.59 mi (6,925.95 km) |
