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Individual

ROBERT REYNOLD PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
780 KUENZLI ST STE 202, RENO, NV 89502-0837
(775) 982-5262
(775) 982-5496

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO1639
NV
208M00000X
Hospitalist Physician
DO1639
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12363872
CAQH
05
1831320761
NV
Enumeration date
07/27/2009
Last updated
08/26/2016
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