Individual
JENNIFER K PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 ENTERPRISE PKWY, SUITE 300, BEACHWOOD, OH 44122-7341
(216) 831-5700
Mailing address
3401 ENTERPRISE PKWY, SUITE 300, BEACHWOOD, OH 44122-7341
(216) 831-5700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1072660
OH
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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