Cory G Peppard CRNA

NPI 1508197864 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1508197864
Gender Male
Enumeration Date 01/26/2010
Last Updated 01/26/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
900 S AUBURN ST
KENNEWICK WA, 99336-5621, US
Phone (509) 737-1878
Fax (509) 737-1879
Business Location
900 S AUBURN ST
KENNEWICK WA, 99336-5621, US
Phone (509) 737-1878
Fax (509) 737-1879
Toxanomy
Taxonomy Code 164W00000X
License State Washington
License Number AP60128232
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According to our database, Cory G Peppard CRNA NPI is 1508197864, taxonomy code is 164W00000X and license number is AP60128232, license state is located at Washington. Cory G Peppard CRNA physically located at 900 S Auburn St, Kennewick WA, 99336-5621. NPI Number Cory G Peppard CRNA has the Individual type.

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1508197864 NPI number is provided on an as is basis without warranty of any kind. 1508197864 is maintained by the National Plan & Provider Enumeration System. The contents of Cory G Peppard CRNA are for informational purposes only.