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Contact Information

DANIEL L PETERSON, DPM
1050 MYDLAND RD
SHERIDAN, WY82801-2186
 Phone: 307-674-7469
 Fax: 307-674-4619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DANIEL L PETERSON · (Male)

NPI # 1437536786
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/06/2015
Last updated 12/08/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • WY License # 171
Hospital affiliation(s)
  • CIBOLA GENERAL HOSPITAL - (Critical Access)
    1016 E ROOSEVELT AVENUE
    GRANTS, NM 87020
  • LOVELACE MEDICAL CENTER - (Acute Care)
    601 DR MARTIN LUTHER KING JR AVE NE
    ALBUQUERQUE, NM 87102
  • LOVELACE WESTSIDE HOSPITAL - (Acute Care)
    10501 GOLF COURSE ROAD NW
    ALBUQUERQUE, NM 87114
  • PRESBYTERIAN HOSPITAL - (Acute Care)
    1100 CENTRAL AVENUE SE
    ALBUQUERQUE, NM 87106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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