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Individual

DR. PETER DANIEL FREDERICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
175 S UNION BLVD STE 300, COLORADO SPRINGS, CO 80910-3126
(719) 365-1950
(719) 365-1951
Mailing address
175 S UNION BLVD STE 300, COLORADO SPRINGS, CO 80910-3126
(719) 365-1950
(719) 365-1951

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
FF3091573
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54988764
CO
Enumeration date
06/13/2007
Last updated
05/06/2016
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