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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407941602 NPPES
Arizona MEDICAID 254165

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