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Individual

MR. MATTHEW BENNION PEADEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
304 S JONES BLVD, LAS VEGAS, NV 89107-2623
(702) 882-8675
Mailing address
11410 SEA SIDE DR, FISHERS, IN 46040-8201

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
SL0737
NV
207L00000X
Anesthesiology Physician
Primary
02004434
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01424390
RAIL ROAD PTAN
IN
Enumeration date
06/15/2010
Last updated
10/14/2025
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