Individual
CRAIG A PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.R.N.P
Contact information
Practice address
960 N 16TH ST, SUITE 16, SPRINGFIELD, OR 97477-4175
(541) 744-6172
(541) 744-8608
Mailing address
960 N 16TH ST, SUITE 16, SPRINGFIELD, OR 97477-4175
(541) 744-6172
(541) 744-8608
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200350022NP
OR
Other
Enumeration date
07/19/2005
Last updated
11/17/2009
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