Glenn D Petersen, PA-C - Preventive Medicine in Denver, CO

Glenn D Petersen, PA-C is a Preventive Medicine - Occupational Medicine physician based in Denver, Colorado. Glenn D Petersen is licensed to practice in Colorado (license number 00239) and his current practice location is 1212 S Broadway, Suite 150, Denver, Colorado. He can be reached at his office (for appointments etc.) via phone at (615) 778-4066.

NPI number for Glenn D Petersen is 1013033323 and his current mailing address is 5080 Spectrum Dr, Suite 1200 West, Addison, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013033323.

Contact Information

Glenn D Petersen, PA-C
1212 S Broadway, Suite 150,
Denver, CO 80210-1582
(615) 778-4066
Not Available

Map and Direction




Physician's Profile

Full NameGlenn D Petersen
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location1212 S Broadway, Denver, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013033323
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 06/12/2009

Medical Identifiers

Medical identifiers for Glenn D Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013033323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 00239 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glenn D Petersen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Glenn D Petersen, PA-C
5080 Spectrum Dr, Suite 1200 West,
Addison, TX 75001-4648

Ph: (972) 364-8000
Glenn D Petersen, PA-C
1212 S Broadway, Suite 150,
Denver, CO 80210-1582

Ph: (615) 778-4066

Reviews and Comments


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