Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 3184 | CO |
NPI | 1114023314 |
---|---|
Provider Name | Dr. Steven Mitchel Peltzman |
First Address | Glenwood Springs, CO 81602-0008 |
Second Address | Glenwood Springs, CO 81601-3643 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 07/08/2013 |