Dziad, Peter M

Dziad, Peter M is an individual health care provider with primary practice located at 95 S Pagosa Blvd , Pagosa Springs CO 81147-8329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Dziad, Peter M can be contacted via phone (970) 731-3700.

Contact Information

Primary practice address
95 S Pagosa Blvd Pagosa Springs CO 81147-8329
Phone: (970) 731-3700
Fax: (970) 731-0504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35051892D Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X DR.0051648 Colorado

Profile Details

NPI number 1720081136
LBN Legal business name Dziad, Peter M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Sep 24th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720081136 NPPES
Other 000000500815 ANTHEM
Other 00160 ANTHEM
Other 20-82460 ANTHEM
Other 297443892-005 ANTHEM
Other 4044721 ANTHEM
MEDICAID 5189177 ANTHEM
Other P00389820 ANTHEM
MEDICAID 0665696 ANTHEM

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