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Individual

DR. CLARA LOUISE PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
747 BROADWAY, SEATTLE, WA 98122-4307
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 233-7489

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60349790
WA
208M00000X
Hospitalist Physician
Primary
MD60349790
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659563526
WA
Enumeration date
08/15/2007
Last updated
10/02/2023
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