Individual
BROCK WILLIAM PEIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5818 N NEVADA AVE, COLORADO SPRINGS, CO 80918-3504
(719) 365-7480
(719) 365-7481
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.072369
IL
2085R0202X
Diagnostic Radiology Physician
036153993
IL
2085R0202X
Diagnostic Radiology Physician
Primary
DR.0072402
CO
Other
Enumeration date
04/03/2018
Last updated
06/24/2024
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