Individual
DR. PETER DANIEL NICHOLAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT017580
PA
207RR0500X
Rheumatology Physician
Primary
OS021964
PA
Other
Enumeration date
04/13/2017
Last updated
07/22/2022
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