# UNIVERSITY PRIMARY CARE PRACTICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROGER PECKHAM MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376754887
- **Authorized official:** MR. STEVE RIDDLE (DIRECTOR OF BILLING SERVICES)
- **Authorized official phone:** (216) 383-6480

## Contact information

- **Practice address:** 29101 HEALTH CAMPUS DR BLDG 2 \# 295, WESTLAKE, OH 44145-5270
- **Practice address phone:** (440) 808-5950
- **Practice address fax:** (440) 250-0363
- **Mailing address:** PO BOX 8792, BELFAST, ME 04915-8792
- **Mailing address phone:** (440) 808-5950
- **Mailing address fax:** (440) 250-0363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | OH | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 04/14/2010