Individual
MR. ANTHONY KENNETH PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2169 FIELD HOUSE DR, U S A F ACADEMY, CO 80840-9599
(719) 333-0218
(719) 333-0204
Mailing address
3775 BIRDIE CT, COLORADO SPRINGS, CO 80922-3064
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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