Individual
DR. SUSAN P PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
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
06/14/2021
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