Individual
KURT ROBERT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
5320 S RAINBOW BLVD STE 300, LAS VEGAS, NV 89118-1896
(702) 892-9666
Mailing address
5320 S RAINBOW BLVD STE 300, LAS VEGAS, NV 89118-1896
(702) 892-9666
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
DO2840
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/25/2014
Last updated
09/17/2021
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