Individual
DR. ROGER PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29101 HEALTH CAMPUS DR BLDG 2, SUITE 295, WESTLAKE, OH 44145-5270
(440) 808-5950
(440) 250-0363
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 808-5950
(440) 250-0363
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35-049421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0903437
—
OH
Enumeration date
07/04/2006
Last updated
11/14/2020
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