Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES A PECK, MD
Active Sole ProprietorAmbulatory Surgical Center · BROOMFIELD, CO
Registration Details
- NPI Number
- 1912205840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2011 (15.140058456331 yrs)
- Last Updated
- Mar 7, 2023
- License
-
MD432063 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10901 W 120TH AVEBROOMFIELD, CO, 800213418Browse CO providers · Browse ZIP 80021
- Phone
- 7203048941
- Primary Specialty
-
Ambulatory Surgical Center
261QA1903X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.