Pamela R Petersen, AUD

NPI #1932267523 in Paonia, Colorado

Provider Information

NPI Number: 1932267523
Entity Type: Individual
Name: Pamela R Petersen, AUD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: AUD
Enumeration Date: Dec 5, 2006
Last Updated: Oct 30, 2013

Practice Location

Address: 11931 4050 RD
City: Paonia
State: Colorado
ZIP Code: 81428-6418
Phone: (970) 527-6290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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