Individual
JEFFREY L PECKINPAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 W COLLEGE ST, BOZEMAN, MT 59718-4061
(406) 490-9953
(855) 802-4392
Mailing address
PO BOX 4194, BUTTE, MT 59702-4194
(206) 910-2452
(855) 802-4392
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18600
MT
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
MED-PHYS-LIC-18600
MT
Other
Enumeration date
06/08/2007
Last updated
09/17/2020
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