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NPI Code Detail

MEDICARE: DR. ERIK PELTZ DO

MEDICARE: DR. ERIK PELTZ DO
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
1208600000XSurgery Physician48204CO
2208600000XSurgery PhysicianMED-PHYS-LIC-77210MT

General Provider Information

NPI Number : 1669528287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIK PELTZ DO
Provider Business Mailing Address
First Line : 1333 SURGICAL SERVICES WAY
Second Line :
City : KALISPELL
State : MT
Zip : 59901-4844
Country : US
Telephone Number : 406-752-5000
Fax Number : 406-752-8220
Provider Business Practice Location Address
First Line : 1333 SURGICAL SERVICES WAY
Second Line :
City : KALISPELL
State : MT
Zip : 59901-4844
Country : US
Telephone Number : 406-752-5000
Fax Number : 406-752-8220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 12/09/2025

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