# CAROLEE M CUTLER PECK MD MPH OPRS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cutler Peck Oculofacial Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821741323
- **Authorized official:** DR. CAROLEE MARIE CUTLER PECK MD, MPH (OWNER)
- **Authorized official phone:** (208) 201-1817

## Contact information

- **Practice address:** 3363 E CHASEWOOD DR, AMMON, ID 83406-4007
- **Practice address phone:** (208) 228-5555
- **Practice address fax:** (208) 228-0077
- **Mailing address:** PO BOX 50678, IDAHO FALLS, ID 83405-0678
- **Mailing address phone:** (208) 228-5555
- **Mailing address fax:** (435) 754-7265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2022
- **Last updated:** 10/14/2025
