Peckham, Russell

Peckham, Russell is an individual health care provider with primary practice located at 7200 Wyoming Spgs Suite 300, Round Rock TX 78681-4303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Peckham, Russell can be contacted via phone (512) 910-8800.

Contact Information

Primary practice address
7200 Wyoming Spgs Suite 300 Round Rock TX 78681-4303
Phone: (512) 910-8800
Fax: (512) 522-4483
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102201303 Virginia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X P5120 Texas

Profile Details

NPI number 1801816715
LBN Legal business name Peckham, Russell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 8th, 2017 - about 7 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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