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Individual
BRAD LEE PECK
Active
Individual
BRAD LEE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
889
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
2104
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
887
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/15/2021
Last updated
08/26/2026
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