Individual
STEVEN L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 WELLINGTON AVE, SUITE 208, GRAND JUNCTION, CO 81501-6129
(970) 254-1686
(970) 254-1687
Mailing address
2754 COMPASS DR, STE 300, GRAND JUNCTION, CO 81506-8714
(970) 254-1686
(970) 254-1687
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
35550
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00410355
RAILROAD MEDICARE
—
Enumeration date
05/10/2006
Last updated
01/08/2008
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