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NPI Code Detail

MEDICARE: DR. CRAIG ARTHUR PETERSON MD

MEDICARE: DR. CRAIG ARTHUR PETERSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician33801CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P340002602OTHERCOMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598739054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CRAIG ARTHUR PETERSON MD
Provider Business Mailing Address
First Line : 800 S 3RD ST
Second Line :
City : MONTROSE
State : CO
Zip : 81401-4212
Country : US
Telephone Number : 970-249-2211
Fax Number : 970-252-2594
Provider Business Practice Location Address
First Line : 3330 S RIO GRANDE AVE STE 140
Second Line :
City : MONTROSE
State : CO
Zip : 81401-4850
Country : US
Telephone Number : 970-497-8100
Fax Number : 970-497-8101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 10/21/2025

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Directions to “ DR. CRAIG ARTHUR PETERSON MD” Practice Location

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