Individual
MELISSA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Mailing address
7780 S BROADWAY, STE 100, LITTLETON, CO 80122-2633
(303) 798-9996
(303) 730-1145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38154
CO
207R00000X
Internal Medicine Physician
5156
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018901
KAISER COMMERCIAL NUMBER
CO
01
—
200048563
TAX ID
AK
05
—
31676774
—
CO
01
—
610518100
DEPARTMENT OF LABOR
AK
01
—
DC5515
MEDICARE RAILROAD
AK
05
—
MD3818
—
AK
Enumeration date
04/10/2006
Last updated
09/29/2021
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