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Individual

DR. PETER EDMUND RAZMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1311A N MILDRED RD, CORTEZ, CO 81321
(970) 564-2678
Mailing address
1311A N MILDRED RD, CORTEZ, CO 81321-2231

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036077461
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2012-0666
NM
207RP1001X
Pulmonary Disease Physician
036077461
IL
207RP1001X
Pulmonary Disease Physician
Primary
MD2012-0666
NM
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MC-1402
ID
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD2012-0666
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036077461
IL
01
290003185
MEDICARE RAILROAD
IL
Enumeration date
11/02/2005
Last updated
04/11/2023
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