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Individual

ANDREW PECKHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2424 N WYATT DR STE 100, TUCSON, AZ 85712-6119
(520) 324-8621
(520) 324-3935
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-2308

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN148598
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
234410
AZ

Other

Enumeration date
12/14/2012
Last updated
01/11/2024
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