Gerald W Peterson Jr Ltd

NPI #1033253174 in Tonopah, Nevada

Provider Information

NPI Number: 1033253174
Entity Type: Organization
Organization Name: Gerald W Peterson Jr Ltd
Primary Specialty: Family Medicine
Enumeration Date: Feb 19, 2007
Last Updated: Jun 21, 2012

Practice Location

Address: 119 ST. PATRICK LN.
City: Tonopah
State: Nevada
ZIP Code: 89049
Phone: (775) 482-9898

Authorized Official

Name: GERALD WILBUR PETERSON JR., D.O.
Title: PRESIDENT
Phone: (775) 482-9898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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