Kent Lee Peterson, D.P.M. Valid NPI

Individual provider · Podiatrist · Prescott, AZ

NPI

1316162647

Type

Individual (Type 1)

Primary specialty

Podiatrist

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213E00000X

License number

0261 (AZ)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-13

Last updated

2017-04-07