Individual
SAMUEL CABEEN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
306 7TH ST, STEVENSVILLE, MT 59870-2823
(480) 292-6295
Mailing address
306 7TH ST, STEVENSVILLE, MT 59870-2823
(480) 292-6295
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
1179
MT
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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