Individual provider · Type 1 NPI
Charles A. Peck, MD
Ambulatory Surgical Clinic/Center · Broomfield, CO
NPI number
1912205840
Active
Practice location
10901 W 120th Ave
Broomfield, CO 80021-3418
Mailing address
2872 Gemini Loop
Broomfield, CO 80023-4678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | MD432063 (PA) |
Ambulatory Surgical Clinic/Center: Definition to come...
Another provider at this address
About NPI 1912205840
Charles A. Peck, MD's National Provider Identifier is 1912205840, issued on Mar 1, 2011. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Broomfield, CO. The record was last updated on Mar 7, 2023.