Individual
NATHAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 ALBANY AVE, TORRINGTON, WY 82240-1503
(307) 532-4091
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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