| Gerald W Peterson Jr Ltd | |
|
119 St. Patrick Ln. Tonopah NV 89049 | |
| (775) 482-9898 | |
| (775) 482-9900 |
| Full Name | Gerald W Peterson Jr Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 119 St. Patrick Ln., Tonopah, Nevada |
| Authorized Official Name and Position | Gerald Wilbur Peterson (PRESIDENT) |
| Authorized Official Contact | 7754829898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald W Peterson Jr Ltd Po Box 1628 Tonopah NV 89049-1628 Ph: (775) 482-9898 | Gerald W Peterson Jr Ltd 119 St. Patrick Ln. Tonopah NV 89049 Ph: (775) 482-9898 |
| NPI Number | 1033253174 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 06/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033253174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 304 (Nevada) | Primary |
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