Individual
DR. MICHAEL D. PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5608
(602) 344-5705
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
37413
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254165
—
AZ
Enumeration date
10/04/2006
Last updated
08/02/2013
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