Individual
DR. RYAN KENT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4401 E SUNSET RD, SUITE 4, HENDERSON, NV 89014-0274
(702) 299-6200
Mailing address
4401 E SUNSET RD, SUITE 4, HENDERSON, NV 89014-0274
(702) 299-6200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
532
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506817
—
NV
Enumeration date
05/02/2006
Last updated
01/31/2008
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