Martin Peterson COTA

NPI 1659531630 - Specialist - 174400000X

NPI Details
NPI 1659531630
Gender Male
Enumeration Date 06/12/2008
Last Updated 06/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
542 16TH ST
RAWLINS WY, 82301-5241, US
Phone (307) 324-2759
Business Location
RAWLINS WY, 82301-4144, US
Phone (307) 324-9561
Taxonomy Code 174400000X
License State Wyoming
License Number COTA-670
Remove 1659531630 NPI Number

According to our database, Martin Peterson COTA NPI is 1659531630, taxonomy code is 174400000X and license number is COTA-670, license state is located at Wyoming. Martin Peterson COTA physically located at 542 16th St, Rawlins WY, 82301-5241. NPI Number Martin Peterson COTA has the Individual type.

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1659531630 NPI number is provided on an as is basis without warranty of any kind. 1659531630 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Peterson COTA are for informational purposes only.