Individual
DOTTIE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REEGT, CNIM
Contact information
Practice address
1361 CAMBRIDGE DR, IDAHO FALLS, ID 83401-4208
(208) 528-7566
(208) 523-9224
Mailing address
PO BOX 3211, IDAHO FALLS, ID 83403-3211
(208) 528-7566
(208) 523-9224
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
10/01/2013
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