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Tara Peterson
NPI 1861990871 · on the registry since 2018
Practice
- Address
- 3821 W College Ln
Hobbs, NM 88242 - Phone
- (575) 393-3168
- Fax
- (575) 397-4659
- Clinicians at this address
- 64
Additional practice sites
- 515 S 700 E Ste 2a, Salt Lake City, UT
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
- Licence states on file
- UT, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico