Individual
MICHAEL PAUL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
7455 W WASHINGTON AVE STE 302, LAS VEGAS, NV 89128-4340
(855) 864-4322
Mailing address
4440 S ATHERTON DR APT 24, TAYLORSVILLE, UT 84123-2578
(801) 875-8185
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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