Individual
BEN N PEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 945-6535
(970) 384-8173
Mailing address
614 NORTHBRIDGE DR, CARBONDALE, CO 81623-2190
(970) 963-2732
(970) 384-8173
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44507
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83624066
—
CO
01
—
P00699588
RR MEDICARE
CO
Enumeration date
08/11/2006
Last updated
08/05/2013
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