Individual
DR. KATIE ELIZABETH MCPEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 A ST, PRIMARY PEDIATRICS, PHILADELPHIA, PA 19134-1043
(303) 915-9016
(215) 427-6791
Mailing address
3601 A ST, PRIMARY PEDIATRICS, PHILADELPHIA, PA 19134-1043
(303) 915-9016
(215) 427-6791
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD425879
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101210749
—
PA
Enumeration date
02/16/2006
Last updated
09/25/2012
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