NPI 1093070179

Brian Woodford Petersen, MD

Practitioner Dermatology Physician Denver, CO

Practice location

Address: 1375 E 20th Ave, Denver, CO 80205-5422
Phone: (303) 338-4545
Mailing address: 10350 E Dakota Ave, Denver, CO 80247-1314

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence DR.0058571 (CO)

Other Dermatology providers in Colorado →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence LP02769 (RI)

Registry record

NPI: 1093070179
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2012
Record last updated: 6 Sep 2022

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.