MEDICARE: DR. PEGGY J ANDERSON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2384	CO

General Provider Information

NPI Number	:	1275605313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEGGY J ANDERSON D.C.

Provider Business Mailing Address
First Line	:	5260 S ULSTER ST APT 3406
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2875
Country	:	US
Telephone Number	:	719-331-9867
Fax Number	:

Provider Business Practice Location Address
First Line	:	5260 S ULSTER ST APT 3406
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-2875
Country	:	US
Telephone Number	:	719-331-9867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	12/20/2023

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