Organization
CHARLES JEFFERY PECK, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JEFFERY PECK DO (PRESIDENT)
(719) 640-4007
Entity
Organization
Contact information
Practice address
4641 BRIDLE PASS DR, COLORADO SPRINGS, CO 80923-9266
(719) 640-4007
Mailing address
4641 BRIDLE PASS DR, COLORADO SPRINGS, CO 80923-9266
(719) 640-4007
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
40851
CO
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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