CODY PETERSON

MOUNTAIN HOME AFB, ID
NPI1922441245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100285)
Enumeration Date2013-04-17
Last Update Date2024-07-19
Business Address
Dr. CODY PETERSON O.D.
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7250
Mailing Address
Dr. CODY PETERSON O.D.
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7250
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