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Individual

MR. DAVID E PEACO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
600 MEDICAL DR, STE 205, WENTZVILLE, MO 63385
(636) 332-5050
(636) 327-4723
Mailing address
600 MEDICAL DR, STE 205, WENTZVILLE, MO 63385
(636) 332-5050
(636) 327-4723

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01175
MO
103TC0700X
Clinical Psychologist
071004359
IL

Other

Enumeration date
08/04/2006
Last updated
05/13/2015
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