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NPI Code Detail

MEDICARE: PETER WARREN ALDORETTA M.D.

MEDICARE: PETER WARREN ALDORETTA 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
1174400000XSpecialist10319RLA
22080N0001XNeonatal-Perinatal Medicine Physician30059CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790784775
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER WARREN ALDORETTA M.D.
Provider Business Mailing Address
First Line : 2635 N 7TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8209
Country : US
Telephone Number : 970-298-2279
Fax Number : 970-298-2222
Provider Business Practice Location Address
First Line : 2635 N 7TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8209
Country : US
Telephone Number : 970-298-2200
Fax Number : 970-298-2222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 04/04/2011

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Directions to “ PETER WARREN ALDORETTA M.D.” Practice Location

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