MRS. Dianne Peterson, OM

NPI #1780907436 in Cookeville, Tennessee

Provider Information

NPI Number: 1780907436
Entity Type: Individual
Name: MRS. Dianne Peterson, OM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist
Credential: OM
Enumeration Date: Mar 9, 2010
Last Updated: Mar 9, 2010

Practice Location

Address: 39 W BROAD ST STE D
City: Cookeville
State: Tennessee
ZIP Code: 38501-2573
Phone: (931) 510-8667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist	235500000X	Primary

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