Individual
DR. ERIC PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 BANNOCK ST, VC 1914, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 1914, DENVER, CO 80204-4507
(303) 602-3720
(303) 602-3733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38189
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N9963
—
NM
Enumeration date
07/28/2005
Last updated
05/13/2012
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