SPENCER GIRARD PETERSON

PRESCOTT, AZ
NPI1376186858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255R0406X Specialist/Technologist, Rehabilitation, Blind
Enumeration Date2019-10-28
Last Update Date2019-10-28
Business Address
SPENCER GIRARD PETERSON
500 N US HIGHWAY 89
PRESCOTT, AZ 86313-5001
Phone number: 928-776-6018
Mailing Address
SPENCER GIRARD PETERSON
500 N US HIGHWAY 89
PRESCOTT, AZ 86313-5001
Phone number: 928-776-6018