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Individual
DR. ARLIN RAY PETERSON
Active
Individual
DR. ARLIN RAY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
3476040501
UT
213E00000X
Podiatrist
Primary
648
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19907541
—
CO
01
—
P00250683
RAILROAD
—
Enumeration date
12/20/2005
Last updated
02/19/2008
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