Most Relevant Information
Provider Data
| NPI Number: | 1003804147 |
| Provider Name: | STEVEN K. PETERSON CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 81449 |
Most Important Dates
| Enumeration Date: | 10/12/2005 |
| Last Updated: | 07/14/2011 |
Provider Practice Location
1236 E ELIZABETH ST
SUITE 1
FORT COLLINS
CO
805244000
Practice Location Phone/Fax
| Phone: | 9702242985 |
| Fax: | 9704729381 |
Provider Mailing Location
1236 E ELIZABETH ST
SUITE 1
FORT COLLINS
CO
805244000
Provider Mailing Phone/Fax
| Phone: | 9702242985 |
| Fax: | 9704729381 |