Individual
DR. BRENT TYLER PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, SUITE 300, LOVELAND, CO 80538-9004
(970) 619-6100
(970) 619-6190
Mailing address
2500 ROCKY MOUNTAIN AVE, SUITE 300, LOVELAND, CO 80538-9004
(970) 669-6100
(970) 619-6190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0046291
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DR.0046291
CO
207RP1001X
Pulmonary Disease Physician
Primary
DR.0046291
CO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
DR.0046291
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126606300
—
WY
05
—
27153240
—
CO
Enumeration date
03/15/2007
Last updated
08/16/2016
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