MEDICARE: DR. PETER DUX MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	24154	AZ
2	207Q00000X	Family Medicine Physician	24154	AZ
3	208D00000X	General Practice Physician	23216	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851338917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER DUX MD

Provider Business Mailing Address
First Line	:	9010 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-8932
Country	:	US
Telephone Number	:	702-240-8646
Fax Number	:	702-240-0206

Provider Business Practice Location Address
First Line	:	9010 W CHEYENNE AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-8932
Country	:	US
Telephone Number	:	702-240-8646
Fax Number	:	702-240-0206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	04/10/2024

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Directions to “ DR. PETER DUX MD” Practice Location

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