Individual
MR. PETER OROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
20311 E STONECREST DR, QUEEN CREEK, AZ 85142-6302
(805) 341-2334
Mailing address
20311 E STONECREST DR, QUEEN CREEK, AZ 85142-6302
(805) 341-2334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4125
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832552
—
AZ
Enumeration date
03/07/2007
Last updated
05/12/2011
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