Individual
DR. ALAN C PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(719) 537-0712
(719) 537-6284
Mailing address
PO BOX 150, HOLLY, CO 81047-0150
(719) 537-0712
(719) 537-6284
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48051
CO
207L00000X
Anesthesiology Physician
A100087
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A100087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33989559
—
CO
Enumeration date
06/02/2008
Last updated
08/06/2012
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