Individual
AMBER M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8890 N UNION BLVD STE 170, COLORADO SPRINGS, CO 80920-2701
(719) 364-5005
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036116852
IL
207Q00000X
Family Medicine Physician
Primary
DR.0056063
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21180075
—
CO
01
—
475790YKRD
MEDICARE NUMBER
CO
Enumeration date
02/01/2007
Last updated
10/06/2021
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