Organization
RICHARD W. PEFFLEY, DPM, A
Active
Other names
Salem Foot Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W PEFFLEY II DPM (OWNER)
(503) 370-8784
Entity
Organization
Contact information
Practice address
350 MILLER ST SE, SALEM, OR 97302-4248
(503) 370-8784
(503) 362-4017
Mailing address
350 MILLER ST SE, SALEM, OR 97302-4248
(503) 370-8784
(503) 362-4017
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00219
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065941
—
OR
Enumeration date
02/07/2006
Last updated
03/14/2011
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