Individual
MARA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 N SPRUCE ST, OGALLALA, NE 69153-2465
(308) 284-4011
Mailing address
105 E S ST, OGALLALA, NE 69153-2931
(308) 289-1118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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