Maverick Lee Peterson
NPI #1346028149 in Cannon Afb, New Mexico
Provider Information
- NPI Number
- 1346028149
- Entity Type
- Individual
- Name
- Maverick Lee Peterson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Enumeration Date
- Sep 21, 2023
- Last Updated
- Feb 2, 2024
Practice Location
- Address
- 224 W D. L. INGRAM AVENUE, BLDG. 1408
- City
- Cannon Afb
- State
- New Mexico
- ZIP Code
- 88103
- Phone
- (715) 817-6949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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