Individual
MR. RICHARD WORTH PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 N COLLEGE AVE, EL DORADO, AR 71730-4403
(870) 862-7921
(870) 864-2490
Mailing address
412 N VINE, MAGNOLIA, AR 71753-2842
(870) 234-7500
(870) 234-8225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3207
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107709001/152144002
—
AR
Enumeration date
08/19/2005
Last updated
11/20/2012
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