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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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