Individual
DANA PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6100 PAN AMERICAN FWY NE, 100, ALBUQUERQUE, NM 87109-3427
(505) 823-1010
(505) 797-4503
Mailing address
6100 PAN AMERICAN FWY NE, 100, ALBUQUERQUE, NM 87109-3427
(505) 823-1010
(505) 797-4503
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
91285
NM
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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