Organization
PEG PROCTOR ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET C PROCTOR LAC (OWNER)
(517) 240-8314
Entity
Organization
Contact information
Practice address
2150 S BELLAIRE ST, UNIT B 201, DENVER, CO 80222-4937
(517) 240-8314
(303) 423-2536
Mailing address
10055 W DARTMOUTH AVE, UNIT 206, LAKEWOOD, CO 80227-5627
(517) 240-8314
(303) 423-2536
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1986
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023434206
INDIVIDUAL NPI
CO
Enumeration date
10/22/2014
Last updated
10/22/2014
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