Individual
DR. PETER C EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2995 BASELINE RD, SUITE 210, BOULDER, CO 80303-2318
(303) 443-2544
(303) 443-6475
Mailing address
2995 BASELINE RD, SUITE 210, BOULDER, CO 80303-2318
(303) 443-2544
(303) 443-6475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16871
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01168715
—
CO
Enumeration date
04/20/2006
Last updated
10/25/2007
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