Individual provider · Type 1 NPI

Michael Peck

Specialist · Colorado Springs, CO

NPI number 1336210806 Active

Practice location

1130 Eagle Rock Rd
Colorado Springs, CO 80918-3906

Fax (719) 268-1711

Mailing address

1130 Eagle Rock Road
Colorado Springs, CO 80918-3906

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1336210806

Michael Peck's National Provider Identifier is 1336210806, issued on Nov 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 8, 2007.