Individual
MICHAEL PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 EAGLE ROCK RD, COLORADO SPRINGS, CO 80918-3906
(719) 238-0117
(719) 268-1711
Mailing address
1130 EAGLE ROCK ROAD, COLORADO SPRINGS, CO 80918-3906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CO
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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