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JOSHUA S PETERS PA-C

>> Orthopaedic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1730497348

Individual Registrant:
 JOSHUA S PETERS PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1830 BLAKE AVE SUITE 206 GLENWOOD SPGS, CO 81601-4275 US
Tel: 970-384-7140  Fax: 970-945-0563

Contact information for business:
1830 BLAKE AVE SUITE 206 GLENWOOD SPGS, CO 81601-4275 US
Tel: 970-384-7140  Fax: 970-945-0563

Registration Information:
NPI: 1730497348
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
COPA0004114
Y363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
COPA0004114

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
76755517CO05




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