Organization
GERALD W PETERSON JR LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD WILBUR PETERSON JR. D.O. (PRESIDENT)
(775) 482-9898
Entity
Organization
Contact information
Practice address
119 ST. PATRICK LN., TONOPAH, NV 89049
(775) 482-9898
(775) 482-9900
Mailing address
PO BOX 1628, TONOPAH, NV 89049-1628
(775) 482-9898
(775) 482-9900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
304
NV
Other
Enumeration date
02/19/2007
Last updated
06/21/2012
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