Individual
JOSHUA SCOTT PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1830 BLAKE AVE, SUITE 206, GLENWOOD SPGS, CO 81601-4275
(970) 384-7140
(970) 945-0563
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(910) 790-9714
(910) 791-1063
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA0004114
CO
363A00000X
Physician Assistant
Primary
0010-15379
NC
363AS0400X
Surgical Physician Assistant
PA0004114
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76755517
—
CO
Enumeration date
09/16/2010
Last updated
05/27/2025
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