# PEAK PEDIATRICS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEAK PEDIATRICS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952471971
- **Authorized official:** MELISSA ANN HERRMANN CMC (BILLING MANAGER)
- **Authorized official phone:** (303) 996-6005

## Contact information

- **Practice address:** 3555 LUTHERAN PKWY STE 340, WHEAT RIDGE, CO 80033-6039
- **Practice address phone:** (303) 996-6005
- **Practice address fax:** (303) 420-8831
- **Mailing address:** 3555 LUTHERAN PKWY, \#340, WHEAT RIDGE, CO 80033-6021
- **Mailing address phone:** (303) 996-6005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | CO | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 62657763 | — | CO |
| 05 | — | 9000105583 | — | CO |