Individual
JOSEPH PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 E 5TH ST, ANDERSON, IN 46012-3462
(815) 245-7202
Mailing address
1100 E 5TH ST, ANDERSON, IN 46012-3462
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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