DR. Cody Peterson, O.D.

NPI #1922441245 in Mountain Home Afb, Idaho

Provider Information

NPI Number: 1922441245
Entity Type: Individual
Name: DR. Cody Peterson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Apr 17, 2013
Last Updated: Jul 19, 2024

Practice Location

Address: 90 HOPE DR BLDG 6000
City: Mountain Home Afb
State: Idaho
ZIP Code: 83648-1062
Phone: (208) 828-7250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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