OrganizationActive
Academic Neurology & Headache Clinic PC
NPI 1083833834 · Specialist · Colorado Springs, CO
Provider details
- NPI number
- 1083833834
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Bruce Peters, President(719) 630-1510
- License
- 24546 (CO)
Specialties & taxonomies
Other Service Providers
Practice location
2301 E Pikes Peak Ave
Suite 202
Colorado Springs, CO 80909-8006
Phone: (719) 630-1510
Fax: (719) 632-7343
Approximate (ZIP-level) locationGet directions
Mailing address
2301 E Pikes Peak Ave
Colorado Springs, CO 80909-8006
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2009-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.