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Individual

JEFFREY PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-8430
(214) 559-7570
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-8430
(214) 559-7570

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301101089
MI
207X00000X
Orthopaedic Surgery Physician
5315055844
MI
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
R1104
TX

Other

Enumeration date
06/11/2012
Last updated
07/21/2022
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