Individual
PETER ANTOUNE JOSEPH BOU-DAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5785 CENTENNIAL CENTER BLVD., LAS VEGAS, NV 89149
(702) 383-2000
(775) 751-2323
Mailing address
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102
(702) 383-2000
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1069
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285821470
—
NV
Enumeration date
10/02/2007
Last updated
03/13/2022
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