Peck, Sanford Dennis

Peck, Sanford Dennis is an individual health care provider with primary practice located at 6116 E Warren Ave , Denver CO 80222-5752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Peck, Sanford Dennis can be contacted via phone (303) 512-0888.

Contact Information

Primary practice address
6116 E Warren Ave Denver CO 80222-5752
Phone: (303) 512-0888
Fax: (303) 512-2288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 16168 Colorado

Profile Details

NPI number 1306805411
LBN Legal business name Peck, Sanford Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jan 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306805411 NPPES
New Mexico MEDICAID Z3486
New Mexico MEDICAID Z0732
New Mexico MEDICAID 00732301900
New Mexico MEDICAID 01161686
New Mexico MEDICAID 641721

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