Provider Demographics
NPI:1437129822
Name:LIEHR, PETER ALBERT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ALBERT
Last Name:LIEHR
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3205 N ACADEMY BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5101
Mailing Address - Country:US
Mailing Address - Phone:719-632-5700
Mailing Address - Fax:719-344-7837
Practice Address - Street 1:225 S UNION BLVD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-3184
Practice Address - Country:US
Practice Address - Phone:719-632-5700
Practice Address - Fax:719-344-7830
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2014-12-09
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Provider Licenses
StateLicense IDTaxonomies
CO42415207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO23734736Medicaid
COI04600Medicare UPIN
CO23734736Medicaid