Edward W Pegg III MD

NPI 1043392160 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1043392160
Gender Male
Enumeration Date 10/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1505 EASTLAND DR
SUITE 2400
BLOOMINGTON IL, 61701-3534, US
Phone (309) 661-7344
Fax (309) 661-7343
Business Location
1505 EASTLAND DR
SUITE 2400
BLOOMINGTON IL, 61701-3534, US
Phone (309) 661-7344
Fax (309) 661-7343
Toxanomy
Taxonomy Code 2084N0400X
License State
License Number
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According to our database, Edward W Pegg III MD NPI is 1043392160, taxonomy code is 2084N0400X Edward W Pegg III MD physically located at 1505 Eastland Dr, Bloomington IL, 61701-3534. NPI Number Edward W Pegg III MD has the Individual type.

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1043392160 NPI number is provided on an as is basis without warranty of any kind. 1043392160 is maintained by the National Plan & Provider Enumeration System. The contents of Edward W Pegg III MD are for informational purposes only.