Individual
MR. COLTON MICHAEL PELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807
(417) 269-4893
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MO
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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