Individual
PEGGY J BERKEBILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 743-5855
Mailing address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 239-7488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
172346
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017044
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
07/08/2007
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