Academic Neurology & Headache Clinic PC
NPI #1083833834 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1083833834
- Entity Type
- Organization
- Organization Name
- Academic Neurology & Headache Clinic PC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Dec 14, 2009
Practice Location
- Address
- 2301 E PIKES PEAK AVE
- Address 2
- SUITE 202
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80909-8006
- Phone
- (719) 630-1510
Authorized Official
- Name
- DR. BRUCE H PETERS, M.D.
- Title
- PRESIDENT
- Phone
- (719) 630-1510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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