Peck, Michael D.
Peck, Michael D. is an individual health care provider with primary practice located at 2601 E Roosevelt St , Phoenix AZ 85008-4973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Peck, Michael D. can be contacted via phone (602) 344-5608.Contact Information
Primary practice address
2601 E Roosevelt St
Phoenix AZ 85008-4973
Phone: (602) 344-5608
Fax: (602) 344-5705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 37413 | Arizona |
Profile Details
| NPI number | 1407941602 |
|---|---|
| LBN Legal business name | Peck, Michael D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 2nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407941602 | NPPES |
| Arizona | MEDICAID | 254165 |
Popular Providers
-
Iskander, Gaby A P
2601 E Roosevelt St , Phoenix AZ 85008-4973 -
Sucher, Joseph Frank
16601 N 40Th St Ste 204 , Phoenix AZ 85032-3356 -
Molitor, Mark Steven
1920 E Cambridge Ave Suite #201, Phoenix AZ 85006-1459 -
Matthews, Marc R.
2525 E Roosevelt St , Phoenix AZ 85008-4948 -
Johnson, Steven B
1441 N 12Th St Fl 1 , Phoenix AZ 85006-2837 -
Vukcevic, Zoran
1818 E Sky Harbor Circle Bldg 2 Ste. 150 , Phoenix AZ 85034 -
Davis, Karole Marie
2601 E Roosevelt St , Phoenix AZ 85008-4973 -
Mangram, Alicia
16601 N 40Th St Ste 204 , Phoenix AZ 85032-3356