Individual
DAVID A PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
500 E. WEBSTER, CHEWELAH, WA 99109
(509) 935-8211
Mailing address
PO BOX 197, CHEWELAH, WA 99109-0197
(509) 935-8211
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP30003820
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9636457
—
WA
Enumeration date
11/27/2006
Last updated
07/08/2007
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