| Doctor Name: | DR. JAMES ALLEN KRAFT PETERSON |
| NPI Number: | 1376545863 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A8715 |
| Business Practice Address: | 145 Oak Meadow Rd Sierra Madre, CA - 910242661 |
| Business Phone Number: | 4157933269 |
| Business Fax Number: | 7023841815 |
| Mailing Address: | 2020 Palomino Lane, Suite 100 LAS VEGAS |
| State: | NV |
| Postal Code: | 891064894 |
| Phone Number: | 7027598600 |
| Fax Number: | 7023841815 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 11/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 20A8715 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |