Individual
DAVID PAUL PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1201 10TH ST, WOODWARD, OK 73801-3107
(580) 256-6021
(580) 254-5301
Mailing address
PO BOX 789, WOODWARD, OK 73802-0789
(580) 256-6021
(580) 254-5301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2022
OK
Other
Enumeration date
10/04/2006
Last updated
07/09/2007
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