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Individual

DR. SUSAN PARK PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36238
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015213
KAISER-COMMERCIAL NUMBER
05
15836827
CO
Enumeration date
02/27/2007
Last updated
08/10/2026
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