Organization
TRI-CITY DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY W PECK MD (OWNER/MD)
(509) 873-7140
Entity
Organization
Contact information
Practice address
112 COLUMBIA POINT DR STE 105, RICHLAND, WA 99352-4390
(509) 873-7140
(509) 818-1303
Mailing address
84827 JENNA LN, KENNEWICK, WA 99338-7311
(484) 919-2125
(509) 530-2274
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/29/2020
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