Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital |
| NPI # | 1174668081 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 02/20/2007 | ||||
| Last updated | 07/08/2007 - About 19 years ago | ||||
| Identifiers |
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TIMOTH Y J PETERSON
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