Individual provider · Type 1 NPI

Michael Paul Peterson, BS

Electroneurodiagnostic Specialist/Technologist · Las Vegas, NV

NPI number 1154082519 Active

Practice location

7455 W Washington Ave Ste 302
Las Vegas, NV 89128-4340

Mailing address

4440 S Atherton Dr Apt 24
Taylorsville, UT 84123-2578

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1154082519

Michael Paul Peterson, BS's National Provider Identifier is 1154082519, issued on Jan 6, 2022. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 6, 2022.