Provider Demographics
NPI:1003157447
Name:PEPPER, ERIC A (CNIM, R EPT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:A
Last Name:PEPPER
Suffix:
Gender:M
Credentials:CNIM, R EPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 S TEJON ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1513
Mailing Address - Country:US
Mailing Address - Phone:719-272-8100
Mailing Address - Fax:719-272-8125
Practice Address - Street 1:13 S TEJON ST
Practice Address - Street 2:SUITE 501
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1513
Practice Address - Country:US
Practice Address - Phone:719-272-8100
Practice Address - Fax:719-272-8125
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic