Individual
MARK ANDREW PECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 TOWN CENTER AVE STE 301, COLUMBIANA, OH 44408-8312
(330) 482-3762
(330) 482-3840
Mailing address
400 TOWN CENTER AVE STE 301, COLUMBIANA, OH 44408-8312
(330) 482-3762
(330) 482-3840
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
34005181P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0617176
—
OH
Enumeration date
09/13/2005
Last updated
09/19/2024
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