Organization
PEAK PERFORMANCE PT/MD,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BERARDUCCI M.D. (OWNER)
(314) 651-2749
Entity
Organization
Contact information
Practice address
540 MESA VISTA CT, COLORADO SPRINGS, CO 80904-2541
(719) 237-8241
Mailing address
540 MESA VISTA CT, COLORADO SPRINGS, CO 80904-2541
(719) 237-8241
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
51214
CO
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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