Individual
PAUL STEPHEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5731 SILVERSTONE TER STE 100, COLORADO SPRINGS, CO 80919-3594
(719) 636-3333
(719) 636-0025
Mailing address
5731 SILVERSTONE TER STE 100, COLORADO SPRINGS, CO 80919-3594
(719) 636-3333
(719) 636-0025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002714
GA
363A00000X
Physician Assistant
Primary
PA0005173
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000687068A
—
GA
Enumeration date
05/29/2008
Last updated
01/23/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us