Individual
DR. JAMES R. PESHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2336 CANYON BLVD STE 100, BOULDER, CO 80302-5653
(303) 442-5492
Mailing address
PO BOX 1588, BOULDER, CO 80306-1588
(303) 442-5492
(303) 447-3610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23310
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01233105
—
CO
Enumeration date
11/02/2006
Last updated
10/23/2008
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