Individual
DR. SUSANA PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0060723
CO
Other
Enumeration date
06/11/2015
Last updated
03/09/2021
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