Individual
MRS. AMY SUZANNE PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
2350 FAIRCHILD DR, U S A F ACADEMY, CO 80840-6297
(719) 333-0258
Mailing address
6773 ABBEYWOOD DR, COLORADO SPRINGS, CO 80922-5452
(719) 282-3825
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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