Mara Peters

NPI #1578194668 in Ogallala, Nebraska

Provider Information

NPI Number: 1578194668
Entity Type: Individual
Name: Mara Peters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 28, 2020
Last Updated: Jan 28, 2020

Practice Location

Address: 2601 N SPRUCE ST
City: Ogallala
State: Nebraska
ZIP Code: 69153-2465
Phone: (308) 284-4011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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