Organization
PEAK NEUROLOGY CORP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY PRIEBE DO (PHYSICIAN/CEO)
(719) 445-9902
Entity
Organization
Contact information
Practice address
5770 FLINTRIDGE DR, COLORADO SPRINGS, CO 80918-1881
(719) 445-9902
(719) 387-0312
Mailing address
5770 FLINTRIDGE DR STE 100, COLORADO SPRINGS, CO 80918-1870
(719) 445-9902
(719) 387-0312
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
DR.0054025
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000149974
—
CO
Enumeration date
11/21/2016
Last updated
12/06/2024
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