United States Air Force
NPI #1720071608 in Luke Afb, Arizona
Provider Information
- NPI Number
- 1720071608
- Entity Type
- Organization
- Organization Name
- United States Air Force
- Primary Specialty
- Military Hospital
- Enumeration Date
- Aug 25, 2005
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. PATTI JO PETERSON-BALLIET, CPNP
- Title
- PEDIATRIC NURSE PRACTITIONER
- Phone
- (626) 536-4774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Hospital |
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