Individual
MR. PETER GUANDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
13631 COLORADO BLVD, THORNTON, CO 80602-7051
(303) 252-2960
(303) 252-2964
Mailing address
13631 COLORADO BOULEVARD, THORNTON, CO 80602
(303) 252-2960
(303) 252-2964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004915
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468255YLB8
MEDICARE
CO
05
—
9000145252
—
CO
Enumeration date
02/19/2014
Last updated
07/21/2022
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