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Individual

MRS. MEGAN MARIE PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 257-5639
(614) 257-5460
Mailing address
11241 ROAD F11, OTTAWA, OH 45875-9639
(419) 231-5586

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002759
OH

Other

Enumeration date
03/19/2008
Last updated
03/19/2008
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