Individual
PEGGY JO WHITEPLUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FT CARSON, CO 80913-4604
(719) 526-4750
(719) 526-7853
Mailing address
9422 TORECCO CT, FOUNTAIN, CO 80817-4711
(307) 349-5196
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01905
IA
152W00000X
Optometrist
18002415A
IN
Other
Enumeration date
12/21/2006
Last updated
12/03/2024
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