Individual
DR. GARY A. PEITZMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3050
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17673
NV
208600000X
Surgery Physician
35.096963
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.096963
OHIO STATE LICENSING BOARD
OH
Enumeration date
09/26/2005
Last updated
07/21/2022
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