Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn D Petersen, PA-C

Individual provider Occupational Medicine Physician · NPI 1013033323

Glenn D Petersen, PA-C is an Occupational Medicine Physician in Denver, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1212 S Broadway Ste 150
Denver, CO 80210-1582
Phone: (615) 778-4066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 00239 (CO)

Record details

NPI number1013033323
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESJune 12, 2009
Mailing address5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648

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