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NPI Code Detail

MEDICARE: DR. MARILU OROZCO-PETERSON M.D

MEDICARE: DR. MARILU OROZCO-PETERSON M.D
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
1207Q00000XFamily Medicine Physician10408AWY
2207Q00000XFamily Medicine PhysicianDR.0036358CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P000048149OTHERCOMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2659946OTHERCOBLUE CROSS
37173241OTHERCOAETNA

General Provider Information

NPI Number : 1366417966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARILU OROZCO-PETERSON M.D
Provider Business Mailing Address
First Line : 4650 SIGNAL TREE DR STE 1200
Second Line :
City : TIMNATH
State : CO
Zip : 80547-4908
Country : US
Telephone Number : 970-237-7415
Fax Number : 970-237-7420
Provider Business Practice Location Address
First Line : 4650 SIGNAL TREE DR STE 1200
Second Line :
City : TIMNATH
State : CO
Zip : 80547-4908
Country : US
Telephone Number : 970-237-7415
Fax Number : 970-237-7420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 06/12/2020

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Directions to “ DR. MARILU OROZCO-PETERSON M.D” Practice Location

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