Healthcare Provider Details

I. General information

NPI: 1053914846
Provider Name (Legal Business Name): PEAK MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 10/25/2021
Certification Date: 10/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3578 HARTSEL DR # E-328
COLORADO SPRINGS CO
80920-2103
US

IV. Provider business mailing address

PO BOX 673
MONUMENT CO
80132-0673
US

V. Phone/Fax

Practice location:
  • Phone: 719-733-3086
  • Fax:
Mailing address:
  • Phone: 719-733-3086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: FRANKLIN BOSKOVICH
Title or Position: AUTHORIZED OFFICIAL
Credential: NP-C
Phone: 719-733-3086