Individual
BRAD LEE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6070 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5615
(702) 803-5534
Mailing address
6070 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5615
(702) 803-5534
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2104
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/15/2021
Last updated
04/25/2024
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