Kent Lee Peterson, D.P.M.

NPI #1316162647 in Prescott, Arizona

Provider Information

NPI Number
1316162647
Entity Type
Individual
Name
Kent Lee Peterson, D.P.M.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Podiatrist
Credential
D.P.M.
Enumeration Date
Apr 13, 2007
Last Updated
Apr 7, 2017

Practice Location

Address
919 12TH PL
Address 2
SUITE 10
State
Arizona
ZIP Code
86305-1433
Phone
(928) 776-0770

Specialties & Taxonomy Codes

Specialty
Podiatrist

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