Individual
ANTHONY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7301 MAPLE ST, OMAHA, NE 68134-6828
(531) 205-3817
Mailing address
7301 MAPLE ST, OMAHA, NE 68134-6828
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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