Individual
PETE E PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11605 MERIDIAN MARKET VW STE 184, FALCON, CO 80831-8238
(719) 364-9560
Mailing address
2695 ROCKY MOUNTAIN AVE, STE 150, LOVELAND, CO 80538-9071
(970) 624-4036
(970) 490-4378
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0003960
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08155305
—
CO
Enumeration date
11/21/2005
Last updated
12/11/2020
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