Individual
ANGELA PEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA
Contact information
Practice address
8200 S QUEBEC ST STE A3287, CENTENNIAL, CO 80112-4411
(931) 622-5837
Mailing address
8200 S QUEBEC ST STE A3287, CENTENNIAL, CO 80112-4411
(931) 622-5837
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA.0001917
CO
Other
Enumeration date
12/04/2014
Last updated
06/02/2016
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