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Individual

DR. PETER J CVIETUSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
30079
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008145
KAISER-COMMERCIAL NUMBER
05
01300797
CO
Enumeration date
02/27/2007
Last updated
06/15/2021
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