Individual
DR. JONATHAN B PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W 144TH AVE STE 140, WESTMINSTER, CO 80023-9326
(303) 430-2640
(303) 430-2625
Mailing address
500 W 144TH AVE STE 140, WESTMINSTER, CO 80023-9326
(303) 430-2640
(303) 430-2625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41487
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000178662
—
CO
05
—
91120551
—
CO
Enumeration date
11/06/2006
Last updated
02/09/2023
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