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C M PETERSON LLC NPI 1942472303


NPI Information

NPI: 1942472303
Provider Name: C M PETERSON LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
1328 FOX ACRES DR
LAS VEGAS, NV
ZIP 89134
Phone: (702) 332-8353
Get Directions

C M PETERSON LLC is a geriatric medicine family medicine in Las Vegas, NV. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. C M PETERSON LLC NPI is 1942472303. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1328 FOX ACRES DR
LAS VEGAS, NV
ZIP 89134-511
Phone: (702) 332-8353
Fax: (702) 921-6828

The provider's authorized official is Christine M Peterson .
The authorized official title is Owner and has the following contact phone number (702) 332-8353.

The enumeration date for this NPI number is 3/26/2008 and was last updated on 4/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineAPN000830 NVNEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q62473MEDICARE UPINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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