Doctor Name: | DENNIS PETERS |
NPI Number: | 1235599143 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1456 |
Business Practice Address: | 4301 W Highway 66 Winslow, AZ - 86047 |
Business Phone Number: | 9282892906 |
Business Fax Number: | |
Mailing Address: | Po Box 37, WINSLOW |
State: | AZ |
Postal Code: | 860470037 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/04/2016 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 1456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |