=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932318854
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARCI L. K. PERALTO M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2007
-----------------------------------------------------
Last Update Date | 01/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3 SUPERIOR DR STE 400
-----------------------------------------------------
City | SUPERIOR
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80027-8656
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-673-1440
-----------------------------------------------------
Fax | 303-673-1360
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3 SUPERIOR DR STE 400
-----------------------------------------------------
City | SUPERIOR
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80027-8656
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-241-7656
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 49772
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 18377
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------