Individual
GREGORY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 432-2664
(307) 432-3127
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 432-2664
(307) 432-3127
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
818263
—
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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