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Individual

DR. LINDA M PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
401 S PARK AVE, MONTROSE, CO 81401-5741
(970) 240-8199
Mailing address
401 S PARK AVE, MONTROSE, CO 81401-5741
(970) 240-8199

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33938
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29088071
CO
Enumeration date
06/01/2005
Last updated
09/14/2007
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