Individual
NATHAN M. PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 13TH ST, EVERETT, WA 98201-1689
(425) 261-2000
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60982993
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
07/31/2020
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