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
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None 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.