Individual
MR. PETER WESLEY HITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
921 N PASEO DE ONATE, ESPANOLA, NM 87532-2649
(505) 747-2298
Mailing address
921 N PASEO DE ONATE, ESPANOLA, NM 87532-2649
(505) 747-2298
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
494
NM
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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