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Individual

MR. ROBERT CLAYTON PETERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DOM, LMT, LAC

Contact information

Practice address
1907 BECK AVE, CODY, WY 82414-3928
(307) 587-5951
Mailing address
PO BOX 2172, CODY, WY 82414-2172
(307) 587-5951

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AK000703
PA
171100000X
Acupuncturist
DOM 775
NM
225700000X
Massage Therapist
Primary
4307
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
314457
BLUE CROSS OF WYOMING
WY
Enumeration date
01/04/2007
Last updated
09/11/2025
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