Individual
DR. PETER PHILANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2481 PROFESSIONAL CT, LAS VEGAS, NV 89128-0825
(702) 382-1599
(702) 240-4962
Mailing address
2481 PROFESSIONAL CT, LAS VEGAS, NV 89128-0825
(702) 382-1599
(702) 240-4962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8535
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003102602
—
NV
01
—
CS09273
PHARMACY/CDS
NV
01
—
V36436
MEDICARE PTAN
NV
Enumeration date
01/03/2006
Last updated
03/07/2023
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