Marie Madonna Peck in Albany - Pediatrics

Marie Madonna Peck - NPI 1013062306

Marie Madonna Peck is a Pediatrics in Albany, Oregon. Marie Madonna Peck practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marie Madonna Peck is 1013062306. The last update date is 2011-05-10.

Marie Madonna Peck's current location address is 2169 14th Ave Se, Albany, Oregon. You can contact this provider via phone number 5419678730 and fax number 5419265465. The mailing address for Marie Madonna Peck is 2169 14th Ave Se, Albany, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Marie Madonna Peck
Address 2169 14th Ave Se, Albany, Oregon
Phone Number 5419678730
Fax Number 5419265465
Sole Proprietor Y
Credentials OD

NPI Number Detail

NPI Number 1013062306
Provider Enumeration Date 2007-01-24
Last Updated Date 2011-05-10

Provider Mailing Address Detail

Address 2169 14th Ave Se
City Albany
State Oregon (OR)
Post Code 973228510
Phone Number 5419678730
Fax Number 5419265465

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 152Wp0200X
Licence No 2821T
Definition:
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

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FAQs about Marie Madonna Peck

What is the unique 10-digit identification code assigned to Marie Madonna Peck by the Centers for Medicare & Medicaid Services?

The Marie Madonna Peck has been issued the NPI (National Provider Identifier) 1013062306, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Marie Madonna Peck's facilities are situated?

The facilities of Marie Madonna Peck are physically located at the following address: 2169 14Th Ave Se, Albany, OR, 973228510.

What is the area of specialization for Marie Madonna Peck, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Marie Madonna Peck is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 152Wp0200X.

On what date was the 1013062306 assigned to Marie Madonna Peck?

The Marie Madonna Peck was issued its 1013062306 on 2007-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Marie Madonna Peck's information last updated?

The Marie Madonna Peck's information was last updated on 2011-05-10.

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