Individual
DR. ARLIN RAY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
509 COLORADO AVE, STE D, PUEBLO, CO 81004-2008
(719) 544-5958
(719) 544-5991
Mailing address
509 COLORADO AVE, STE D, PUEBLO, CO 81004-2008
(719) 544-5958
(719) 544-5991
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
3476040501
UT
213E00000X
Podiatrist
Primary
648
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19907541
—
CO
01
—
P00250683
RAILROAD
—
Enumeration date
12/20/2005
Last updated
02/19/2008
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