NPI 1801291653

Peg Proctor Acupuncture, LLC

Organisation Preferred Provider Organization Denver, CO

Practice location

Address: 2150 S Bellaire St Unit B 201, Denver, CO 80222-4937
Phone: (517) 240-8314
Fax: (303) 423-2536
Mailing address: 10055 W Dartmouth Ave Unit 206, Lakewood, CO 80227-5627

Authorised official

Name: Margaret C Proctor
Title: Owner
Phone: (517) 240-8314

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1986 (CO)

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Registry record

NPI: 1801291653
Entity type: Organization
NPI issued: 22 Oct 2014
Record last updated: 22 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.