Healthcare Provider Details

I. General information

NPI: 1922351758
Provider Name (Legal Business Name): PEAK HEALTH FAMILY MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2012
Last Update Date: 02/07/2020
Certification Date: 02/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 S ESTES ST STE 250
LITTLETON CO
80123-8620
US

IV. Provider business mailing address

5920 S ESTES ST STE 250
LITTLETON CO
80123-8620
US

V. Phone/Fax

Practice location:
  • Phone: 303-973-3529
  • Fax: 303-973-3549
Mailing address:
  • Phone: 303-973-3529
  • Fax: 303-973-3549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number46979
License Number StateCO

VIII. Authorized Official

Name: DR. JILL A QUIGLEY
Title or Position: PHYSICIAN
Credential: MD
Phone: 336-624-2857