KENT LEE PETERSON

PRESCOTT, AZ
NPI1316162647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: AZ  0261)
Enumeration Date2007-04-13
Last Update Date2017-04-07
Business Address
-- KENT LEE PETERSON D.P.M.
919 12TH PL SUITE 10
PRESCOTT, AZ 86305-1433
Phone number: 928-776-0770
Mailing Address
-- KENT LEE PETERSON D.P.M.
1206 ROLLING HILLS CIR
PRESCOTT, AZ 86303-6485
Phone number: 928-710-0770