Individual provider · Type 1 NPI

David Ian Peterson, PA

Medical Physician Assistant · Lone Tree, CO

NPI number 1891482360 Active

Practice location

9101 Kimmer Dr
Lone Tree, CO 80124-8454

Call (303) 424-2535 Map

Fax (303) 835-4623

Mailing address

2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419

Other practice locations

  • 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 · (303) 842-2362

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.0007841 (CO)
Medical Physician Assistant Primary 363AM0700XPA.0007841 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1891482360

David Ian Peterson, PA's National Provider Identifier is 1891482360, issued on Apr 24, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lone Tree, CO. The record was last updated on Jul 28, 2025.