Individual
MR. KYLE MICHAEL PETERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1928 W 22ND AVE, APACHE JUNCTION, AZ 85120-7003
(602) 882-0497
Mailing address
1928 W 22ND AVE, APACHE JUNCTION, AZ 85120-7003
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
241683
AZ
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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