Individual
MR. CORY R PETICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2801 PURCELL ST, BRIGHTON, CO 80601-3551
(303) 558-0515
Mailing address
6107 S WESTVIEW ST, LITTLETON, CO 80120-2837
(720) 280-2595
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0997994
CO
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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