Individual
PETER LEONID ALTHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 788-5261
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
11539
NV
207XX0801X
Orthopaedic Trauma Physician
Primary
11539
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507177
—
NV
01
—
11569775
CAQH
—
Enumeration date
11/04/2005
Last updated
04/19/2023
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