NPI 1013033323

Glenn D Petersen, PAC

Practitioner Occupational Medicine Physician Denver, CO

Practice location

Address: 1212 S Broadway Suite 150, Denver, CO 80210-1582
Phone: (615) 778-4066
Mailing address: 5080 Spectrum Dr Suite 1200 West, Addison, TX 75001-4648

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 00239 (CO)

Other Preventive Medicine providers in Colorado →

Registry record

NPI: 1013033323
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2007
Record last updated: 12 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.