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Individual

BRIAN W PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
425 SO 2ND ST, MIDWEST VISION CLINIC PLC, CLINTON, IA 52732
(563) 242-0223
(563) 242-6864
Mailing address
425 SO 2ND ST, CLINTON, IA 52732
(563) 242-0223
(563) 242-6864

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01959
IA
152W00000X
Optometrist
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0182824
IA
01
48079
BCBS
IA
Enumeration date
07/12/2006
Last updated
10/18/2007
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