Individual
ROXANNE LEIGH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
508 STOCKTRAIL AVE STE A, GILLETTE, WY 82716-3582
(307) 686-1413
(307) 688-7940
Mailing address
508 STOCKTRAIL AVE STE A, GILLETTE, WY 82716-3582
(307) 686-1413
(307) 688-7940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
479
WY
Other
Enumeration date
08/20/2009
Last updated
07/10/2019
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