Individual
DENNIS F PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
413 LILLY ROAD NE, PROVIDENCE ST PETER HOSPITAL, OLYMPIA, WA 98506-5166
(360) 491-9480
(360) 459-4361
Mailing address
PO BOX 3941, SEATTLE, WA 98124-3941
(360) 459-7770
(360) 459-4361
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD00017823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203967
LABOR & INDUSTRIES
WA
05
—
8101883
—
WA
Enumeration date
03/31/2006
Last updated
12/18/2007
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