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NPI 1093070179

IndividualActive

Brian Petersen, M.D.

NPI 1093070179 · Dermatology Physician · Denver, CO

Provider details

NPI number: 1093070179
Entity type: Individual
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: LP02769 (RI)

Practice location

1375 E 20th Ave

Denver, CO 80205-5422

Phone: (303) 338-4545

More CO providers

Mailing address

10350 E Dakota Ave

Denver, CO 80247-1314

Registry dates

Enumerated: 2012-07-05
Last updated: 2022-09-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brian Petersen, M.D. — NPI 1093070179, Denver, CO | NPI Central