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Individual

DR. PETER R MCNALLY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
EVANS ARMY COMMUNITY HOSPITAL, GI CLINIC, FT CARSON, CO 80913-4604
(719) 526-7453
(719) 526-7007
Mailing address
1650 COCHRANE CIR, ATTN CREDENTIALS OFFICE, FORT CARSON, CO 80913-4603
(719) 526-7844
(719) 526-7984

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31935
CO
207RG0100X
Gastroenterology Physician
R3E28
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88234347
CO
Enumeration date
01/24/2006
Last updated
04/14/2022
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