Provider Demographics
NPI:1114023314
Name:PELTZMAN, STEVEN MITCHEL (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MITCHEL
Last Name:PELTZMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81602-0008
Mailing Address - Country:US
Mailing Address - Phone:970-945-8466
Mailing Address - Fax:970-945-8413
Practice Address - Street 1:1517 BLAKE AVE
Practice Address - Street 2:SUITE #201
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-3643
Practice Address - Country:US
Practice Address - Phone:970-945-8466
Practice Address - Fax:970-945-8413
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3184111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician