Individual
MR. SCOTT ANTHONY PETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1526 SALSBURY AVE, CODY, WY 82414-3121
(307) 527-0682
Mailing address
1526 SALSBURY AVE, CODY, WY 82414-3121
(307) 527-0682
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/21/2017
Last updated
01/21/2017
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