Mrs. Diane Elaine Bergman Petersen
Obstetrician & Gynecologist
940 Central Park Drive #209
Steamboat Springs
, Colorado 80487
Mrs. Diane Elaine Bergman Petersen
Obstetrician & Gynecologist
940 Central Park Drive #209
Steamboat Springs
, Colorado 80487
(970) 870-6441
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Mrs. Diane Elaine Bergman Petersen
- 940 Central Park Drive #209
- Steamboat Springs, CO
- Zip : 80487
- Fax : (970) 870-6441
- Phone : (970) 879-3738
Second Address
- Mrs. Diane Elaine Bergman Petersen
- 940 Central Park Drive #209
- Steamboat Springs, CO
- Zip : 80487
- Fax : (970) 870-6441
- Phone : (970) 879-3738
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 46731 | CO |
National Provider Identifier
| NPI | 1013939578 |
|---|---|
| Provider Name | Mrs. Diane Elaine Bergman Petersen |
| First Address | Steamboat Springs, CO 80487 |
| Second Address | Steamboat Springs, CO 80487 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 03/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 46731 | COLORADO STATE LICENSE (01) | CO |
| D98282 | (02) | |
| D98282 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.