Individual
DR. PETER SHORTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2373 G RD STE 100, GRAND JUNCTION, CO 81505-1003
(970) 644-4010
(970) 644-3920
Mailing address
PO BOX 1727, GRAND JCT, CO 81502-1727
(970) 644-4010
(970) 644-3920
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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