Healthcare Provider Details

I. General information

NPI: 1336532241
Provider Name (Legal Business Name): DR JENNIFER MCPEEK DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2015
Last Update Date: 03/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

942 OAK STREET
STEAMBOAT SPRINGS CO
80487
US

IV. Provider business mailing address

PO BOX 773323
STEAMBOAT SPRINGS CO
80477-3323
US

V. Phone/Fax

Practice location:
  • Phone: 970-879-9362
  • Fax: 866-511-0120
Mailing address:
  • Phone: 970-879-9362
  • Fax: 866-511-0120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number38739
License Number StateCO

VIII. Authorized Official

Name: JENNIFER MCPEEK
Title or Position: DR
Credential: DO
Phone: 970-879-9362