Healthcare Provider Details

I. General information

NPI: 1295900991
Provider Name (Legal Business Name): PEAK PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 12/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 E 104TH AVE SUITE 115
THORNTON CO
80233-4404
US

IV. Provider business mailing address

2200 E 104TH AVE SUITE 115
THORNTON CO
80233-4404
US

V. Phone/Fax

Practice location:
  • Phone: 303-452-2766
  • Fax: 303-252-8694
Mailing address:
  • Phone: 303-452-2766
  • Fax: 303-252-8694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC D BARNHART
Title or Position: PARTNER
Credential: MD
Phone: 303-452-2766