Organization
AP FOOT AND ANKLE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARLIN RAY PETERSON DPM (OWNER)
(719) 544-5958
Entity
Organization
Contact information
Practice address
509 COLORADO AVE, SUITE D, PUEBLO, CO 81004-2008
(719) 544-5958
(719) 544-5991
Mailing address
PO BOX 3026, PUEBLO, CO 81005-0026
(719) 544-5958
(719) 544-5991
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
648
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19907541
—
CO
01
—
DD7813
RAILROAD
—
Enumeration date
03/21/2007
Last updated
03/25/2008
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