Individual
FLETCHER PEAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5440 W SAHARA AVE STE 302, LAS VEGAS, NV 89146-0361
(702) 633-0207
Mailing address
951 LAS PALMAS ENTRADA AVE APT 1927, HENDERSON, NV 89012-5628
(480) 434-4065
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2783
NV
Other
Enumeration date
11/29/2022
Last updated
03/23/2023
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