Individual
DAVID IAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9101 KIMMER DR, LONE TREE, CO 80124-8454
(303) 424-2535
(303) 835-4623
Mailing address
2352 MEADOWS BLVD STE 300, CASTLE ROCK, CO 80109-8419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0007841
CO
363AM0700X
Medical Physician Assistant
Primary
PA.0007841
CO
Other
Enumeration date
04/24/2023
Last updated
07/28/2025
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