Individual
DR. JOHN M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
545 S BROADWAY STE 500, DENVER, CO 80209-4076
(303) 215-0376
(303) 302-6906
Mailing address
545 S BROADWAY STE 500, DENVER, CO 80209-4076
(303) 215-0376
(303) 302-6906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1806
AZ
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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