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Individual

DONALD JOSEPH PELT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EMT

Contact information

Practice address
104 STATE ROUTE 447, NIXON, NV 89424-0256
(775) 560-4417
(775) 574-1008
Mailing address
208 CAPITAL HILL DR., P.O. BOX 256, NIXON, NV 89424-0256
(775) 560-4417
(775) 574-1008

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
71894
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1881007037
EMS NPI
NV
Enumeration date
03/11/2016
Last updated
03/11/2016
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