Gregory John Peck in Brandywine - Independent Duty Corpsman
Gregory John Peck - NPI 1306814363
Gregory John Peck is a Independent Duty Corpsman in Brandywine, Maryland. Gregory John Peck practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Gregory John Peck is 1306814363. The last update date is 2007-07-08.
Gregory John Peck's current location address is 13511 S Springfield Rd, Brandywine, Maryland. You can contact this provider via phone number 3017824385. The mailing address for Gregory John Peck is 13511 S Springfield Rd, Brandywine, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory John Peck |
|---|---|
| Address | 13511 S Springfield Rd, Brandywine, Maryland |
| Phone Number | 3017824385 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306814363 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13511 S Springfield Rd |
|---|---|
| City | Brandywine |
| State | Maryland (MD) |
| Post Code | 206139232 |
| Phone Number | 3017824385 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710I1002X | MD | INDEPENDENT DUTY CORPSMAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gregory John Peck by the Centers for Medicare & Medicaid Services?
The Gregory John Peck has been assigned the NPI (National Provider Identifier) 1306814363 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Gregory John Peck located?
The Gregory John Peck is located at 13511 S Springfield Rd, Brandywine, MD 206139232.
What is the Gregory John Peck's area of specialization and corresponding taxonomy classification?
The Gregory John Peck's specialty field is Independent Duty Corpsman, and it falls under the taxonomy code 1710I1002X, which categorizes healthcare providers based on their specialties.
When was the Gregory John Peck's 1306814363 issued?
The Gregory John Peck's 1306814363 was issued on 2006-03-08.
As of what date were the Gregory John Peck's details last updated?
The information pertaining to the Gregory John Peck, including its address, specialty, and other details, was most recently updated on 2007-07-08.