Organization
PEAK SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIA K C TIMOTHY MD (PHYSICIAN)
(303) 795-3375
Entity
Organization
Contact information
Practice address
7780 S BROADWAY, SUITE 250, LITTLETON, CO 80122-2648
(303) 795-3375
(303) 795-0621
Mailing address
7780 S BROADWAY, SUITE 250, LITTLETON, CO 80122-2648
(303) 795-3375
(303) 795-0621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40596
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174512347
NPI INDIVIDUAL #
CO
Enumeration date
09/20/2006
Last updated
08/22/2020
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