| Charles Jeffery Peck, Do, Pc | |
|
4641 Bridle Pass Dr Colorado Springs CO 80923-9266 | |
| (719) 640-4007 | |
| Not Available |
| Full Name | Charles Jeffery Peck, Do, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4641 Bridle Pass Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Charles Jeffery Peck (PRESIDENT) |
| Authorized Official Contact | 7196404007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Jeffery Peck, Do, Pc 4641 Bridle Pass Dr Colorado Springs CO 80923-9266 Ph: (719) 640-4007 | Charles Jeffery Peck, Do, Pc 4641 Bridle Pass Dr Colorado Springs CO 80923-9266 Ph: (719) 640-4007 |
| NPI Number | 1427317783 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 05/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427317783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 40851 (Colorado) | Primary |
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