Individual
DR. JEFFREY ELAM PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 W 20TH ST, SUITE 101, GREELEY, CO 80634
(970) 378-8000
(970) 378-8088
Mailing address
6801 W 20TH ST, SUITE 101, GREELEY, CO 80634
(970) 378-8000
(970) 378-8088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35796
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01357961
—
CO
Enumeration date
02/22/2006
Last updated
12/15/2009
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