| Linda M. Peterson, Md, Pllc | |
|
401 S Park Ave Montrose CO 81401-5741 | |
| (970) 240-8199 | |
| Not Available |
| Full Name | Linda M. Peterson, Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 401 S Park Ave, Montrose, Colorado |
| Authorized Official Name and Position | Linda M Peterson (OWNER) |
| Authorized Official Contact | 9702408199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda M. Peterson, Md, Pllc 401 S Park Ave Montrose CO 81401-5741 Ph: (970) 240-8199 | Linda M. Peterson, Md, Pllc 401 S Park Ave Montrose CO 81401-5741 Ph: (970) 240-8199 |
| NPI Number | 1851587638 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/14/2007 |
| Medicare PECOS PAC ID | 9739275736 |
|---|---|
| Medicare Enrollment ID | O20071023000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851587638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33938 (Colorado) | Primary |
| Provider Name | Linda M Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376545681 PECOS PAC ID: 7911994082 Enrollment ID: I20040429000773 |
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