Individual
DR. MATTHEW THOMAS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 GROVE ST, DENVER, CO 80204-2229
(303) 825-2295
(719) 200-5623
Mailing address
6665 DELMONICO DR STE A, COLORADO SPRINGS, CO 80919-1895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2804
CO
Other
Enumeration date
07/30/2010
Last updated
06/24/2020
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