Marie Madonna Peck OD

NPI 1013062306 - Optometrist - 152WC0802X

NPI Details
NPI 1013062306
Gender Female
Enumeration Date 01/24/2007
Last Updated 05/10/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2169 14TH AVE SE
ALBANY OR, 97322-8510, US
Phone (541) 967-8730
Fax (541) 926-5465
Business Location
2169 14TH AVE SE
ALBANY OR, 97322-8510, US
Phone (541) 967-8730
Fax (541) 926-5465
Toxanomy
Taxonomy Code 152WC0802X
License State Oregon
License Number 2821T
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According to our database, Dr. Marie Madonna Peck OD NPI is 1013062306, taxonomy code is 152WC0802X and license number is 2821T, license state is located at Oregon. Marie Madonna Peck OD physically located at 2169 14th Ave Se, Albany OR, 97322-8510. NPI Number Marie Madonna Peck OD has the Individual type.

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1013062306 NPI number is provided on an as is basis without warranty of any kind. 1013062306 is maintained by the National Plan & Provider Enumeration System. The contents of Marie Madonna Peck OD are for informational purposes only.