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Organization
STEVEN L PETERSON PROFESSIONAL LLC
Active
Organization
STEVEN L PETERSON PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L PETERSON MD (OWNER)
(970) 254-1686
Entity
Organization
Contact information
Practice address
1120 WELLINGTON AVE, SUITE 208, GRAND JUNCTION, CO 81501-6129
(970) 254-1686
(970) 254-1687
Mailing address
2754 COMPASS DR, STE 300, GRAND JUNCTION, CO 81506-8714
(970) 254-1686
(970) 254-1687
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
35550
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG0363
RAILROAD MEDICARE
—
Enumeration date
06/13/2007
Last updated
01/08/2008
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