Individual
DR. ERIC P. PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
90 BEAVER DR, BUILDING C, DU BOIS, PA 15801-2440
(814) 371-2273
(814) 371-2500
Mailing address
90 BEAVER DR, BUILDING C, DU BOIS, PA 15801-2440
(814) 371-2273
(814) 371-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-010983-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018251700002
—
PA
01
—
2078210
BLUE SHIELD
PA
01
—
61854
GEISINGER
PA
01
—
P00663727
RAILROAD MEDICARE
PA
01
—
V0075D
UPMC
PA
Enumeration date
08/01/2006
Last updated
09/11/2020
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