Individual
MARCIA C PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20130 LAKE CHABOT RD, SUITE 201, CASTRO VALLEY, CA 94546-5340
(510) 204-2574
(510) 886-8466
Mailing address
20130 LAKE CHABOT RD, SUITE 201, CASTRO VALLEY, CA 94546-5340
(510) 204-2574
(510) 886-8466
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A75655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A75655
MEDICAL LICENSE
CA
Enumeration date
07/14/2006
Last updated
03/11/2011
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