Individual
DR. SNOW PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
1423 E ROOSEVELT AVE, GRANTS, NM 87020-2245
(505) 287-6500
(505) 287-5393
Mailing address
1423 E ROOSEVELT AVE, GRANTS, NM 87020-2245
(505) 287-6500
(505) 287-5393
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2020-0634
NM
Other
Enumeration date
06/15/2011
Last updated
07/28/2025
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