Individual
AARON THOMAS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 WAGON TRAIL AVE, LAS VEGAS, NV 89118-4426
(702) 942-4123
(702) 942-4124
Mailing address
3600 MINNESOTA DR STE 800, EDINA, MN 55435-7915
(952) 595-1100
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036116322
IL
2085R0202X
Diagnostic Radiology Physician
Primary
12283
NV
2085R0204X
Vascular & Interventional Radiology Physician
12283
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336126721
—
NV
01
—
P00440881
RR MEDICARE
—
Enumeration date
12/27/2005
Last updated
03/14/2025
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