Individual
DR. ALLAN PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8231 CORNELL RD STE 320, CINCINNATI, OH 45249-2281
(513) 794-5600
(513) 587-0470
Mailing address
2925 VERNON PL STE 100, CINCINNATI, OH 45219-2425
(513) 794-5600
(513) 587-0470
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35064627
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920516
—
OH
01
—
100008131
RAILROAD MEDICARE
OH
01
—
100008167
RAILROAD MEDICARE
IN
05
—
200087380
—
IN
Enumeration date
07/20/2005
Last updated
07/13/2022
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