Individual
PETER E JAMIESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 MERCADO ST, SUITE 202, DURANGO, CO 81301-7306
(970) 247-5362
(970) 259-6045
Mailing address
1 MERCADO ST, SUITE 202, DURANGO, CO 81301-7306
(970) 247-5362
(970) 259-6045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
816
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO0304953
MEDICARE PROVIDER NUMBER PTAN
CO
Enumeration date
04/19/2006
Last updated
08/06/2009
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