Individual
DR. PETER SHORTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
11268151-1205
UT
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
DR.0064327
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000182226
—
CO
Enumeration date
03/26/2014
Last updated
03/16/2022
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