Individual
DIANE H PELTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 OAK AVE, COLORADO SPRINGS, CO 80906-3260
(719) 434-7019
(719) 487-0005
Mailing address
4 OAK AVE, COLORADO SPRINGS, CO 80906-3260
(719) 434-7019
(719) 487-0005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0035998
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01359983
—
CO
01
—
050050074
RAILROAD MEDICARE NUMBER
CO
Enumeration date
08/31/2005
Last updated
10/17/2016
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