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Contact Information

PEACH STATE MEDICAL PRACTICE, PC
220 JOSEPHINE ST
DENVER, CO80206-4750
 Phone: 855-563-2639
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PEACH STATE MEDICAL PRACTICE PC · (Female)

NPI # 1275117269
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2021
Last updated 05/20/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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