Maverick Lee Peterson
Maverick Lee Peterson is an Independent Duty Medical Technicians in Cannon AFB, New Mexico. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
224 W D L Ingram Ave Bldg 1408Cannon AFB, NM 88103
Phone: (715) 817-6949
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Medical Technicians (primary) | Taxonomy 1710I1003X |
|---|
Record details
| NPI number | 1346028149 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 21, 2023 |
| Last updated in NPPES | February 2, 2024 |
| Certification date | January 31, 2024 |
| Mailing address | 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 |
Other providers in Cannon AFB
-
Jesse Ferrell, IDMT
224 W Dl Ingram Ave Bldg 1408, Cannon AFB, NM 88101 · (575) 784-8512
-
Martin Oleen Jensen, IDMT
119 E Arcadia Ave Bldg 622 27 Special Operations Support Sqdn/osm, Cannon AFB, NM 88103-5112 · (575) 784-0287
-
Brandi Konieczynski
104 W D L Ingram Ave, Cannon AFB, NM 88101 · (575) 904-3802
-
Andrew M Null
27 Somdg 224 West D.l Ingram Ave Bldg 1408, Cannon AFB, NM 88103 · (575) 784-2778
-
Keaton James Rider
104 W D.l Ingram Ave, Cannon AFB, NM 88101 · (575) 784-2778
-
Matthew R Rook
27TH Special Operations Medical Group 224 W D L Ingram Ave Bldg 1408, Cannon AFB, NM 88103 · (575) 904-3917
-
Mr. Ray Leroy Schatz III, IDMT
511 N Torch Blvd, Cannon AFB, NM 88103-5109 · (575) 784-0287
-
Mr. Andrew Springstead
208 W Casablanca Ave 27SOMDG, Cannon AFB, NM 88103-5009 · (575) 784-7516