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Individual

DR. THOMAS T PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5881 W 16TH ST, GREELEY, CO 80634-2910
(970) 313-2740
(970) 313-2744
Mailing address
5881 W 16TH ST, GREELEY, CO 80634-2910
(970) 313-2740
(970) 313-2744

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
27816
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01278167
CO
Enumeration date
05/11/2006
Last updated
07/02/2013
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