WASHINGTON, Nov. 29 -- The National Labor Relations Board issued the following decision (Case No. 27-RC-349077) by Region 27 Director Matthew S. Lomax. Here are excerpts: * * * PEAK VISTA COMMUNITY HEALTH CENTERS, Employer And UNION OF AMERICAN PHYSICIANS & DENTISTS AFFILIATED AMERICAN FEDERATION OF STATE, COUNTY & MUNICIPAL EMPLOYEES, AFL-CIO, Petitioner DECISION AND DIRECTION OF ELECTION The Union of American Physicians & Dentists affiliated American Federation of State, County & Municipa more PR