Individual
DR. DANIEL L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
926 INCLINE WAY, UNIT 150, INCLINE VILLAGE, NV 89451-7933
(775) 832-0989
(775) 832-3046
Mailing address
PO BOX 11249, RENO, NV 89510-1249
(775) 832-0989
(775) 832-3046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4249
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016984
—
NV
Enumeration date
02/28/2007
Last updated
03/02/2017
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