Individual
CAMERON SCOTT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 887-4100
Mailing address
4201 ARCADIA PT, LAS CRUCES, NM 88011-4384
(801) 367-5437
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01538
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04536819
—
NM
Enumeration date
12/15/2017
Last updated
06/26/2024
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