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Individual

DR. TRACI MAXWELL PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
707 S 8TH ST, COLORADO SPRINGS, CO 80905-1811
(719) 477-0274
(719) 633-1109
Mailing address
707 S 8TH ST, COLORADO SPRINGS, CO 80905-1811
(719) 477-0274
(719) 633-1109

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2638
CO
152W00000X
Optometrist
6449TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21436541
CO
Enumeration date
12/22/2005
Last updated
08/04/2022
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