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Individual

DR. BRET CHARLES PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0051904
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
28074734
CO
01
P01214272
RR MEDICARE
CO
Enumeration date
04/22/2008
Last updated
12/16/2019
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