Individual
PEGGY JO REEP
Active
Individual
PEGGY JO REEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
17306
OK
2085R0202X
Diagnostic Radiology Physician
Primary
41949
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477079
—
LA
05
—
200052500A
—
OK
01
—
502461641001
BCBS-LAWTON
OK
01
—
5623606
AETNA
OK
05
—
8557050
—
WA
01
—
P00225875
RAILROAD MEDICARE
OK
Enumeration date
09/21/2005
Last updated
02/05/2010
Update your record
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