Doctor Name: | MR. ERIC A PEPPER |
NPI Number: | 1003157447 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNIM, R. EPT |
License Number: | |
Business Practice Address: | 13 S Tejon St Suite 501 Colorado Springs, CO - 809031513 |
Business Phone Number: | 7192728100 |
Business Fax Number: | 7192728125 |
Mailing Address: | 13 S Tejon St, Suite 501 COLORADO SPRINGS |
State: | CO |
Postal Code: | 809031513 |
Phone Number: | 7192728100 |
Fax Number: | 7192728125 |
NPI Enumeration Date: | 03/11/2013 |
NPI Last Update Date: | 03/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |