Individual
DR. PHILLIP O PEGG JR.
Active
Individual
DR. PHILLIP O PEGG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1390
KY
103TC0700X
Clinical Psychologist
Primary
PYT0122
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01644526
RAILROAD MEDICARE
MO
Enumeration date
06/22/2006
Last updated
06/10/2016
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