Provider Demographics
NPI:1538440375
Name:PEAK PERFORMANCE OF WESTERN COLO PC
Entity type:Organization
Organization Name:PEAK PERFORMANCE OF WESTERN COLO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:YOUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-242-1903
Mailing Address - Street 1:1445 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3053
Mailing Address - Country:US
Mailing Address - Phone:970-242-1903
Mailing Address - Fax:970-256-1113
Practice Address - Street 1:1445 N 7TH ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3053
Practice Address - Country:US
Practice Address - Phone:970-242-1903
Practice Address - Fax:970-256-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-07
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4404111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty