Individual
JOHN B. PELNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3205 N ACADEMY BLVD, SUITE 160, COLORADO SPRINGS, CO 80917-5101
(719) 776-3216
(719) 776-3187
Mailing address
3205 N ACADEMY BLVD, SUITE 160, COLORADO SPRINGS, CO 80917-5101
(719) 776-3216
(719) 776-3187
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21581
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01215813
—
CO
Enumeration date
07/20/2006
Last updated
07/09/2013
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