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Individual

DR. DAVID JOHN PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O., PHARM. D.

Contact information

Practice address
2800 E DESERT INN RD, LAS VEGAS, NV 89121-3608
(702) 735-7355
(702) 735-7966
Mailing address
2800 E DESERT INN RD, LAS VEGAS, NV 89121-3608
(702) 735-7355
(702) 735-7966

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
58.001229
OH
207X00000X
Orthopaedic Surgery Physician
Primary
DO1393
NV

Other

Enumeration date
06/22/2007
Last updated
06/02/2008
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