Jeremy Walter Peck in Richland - Dermatology
Jeremy Walter Peck - NPI 1457514689
Jeremy Walter Peck is a Dermatology in Richland, Washington. Jeremy Walter Peck practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jeremy Walter Peck is 1457514689. The last update date is 2020-11-03.
Jeremy Walter Peck's current location address is 112 Columbia Point Dr Ste 105, Richland, Washington. You can contact this provider via phone number 5098737140 and fax number 5098181303. The mailing address for Jeremy Walter Peck is 112 Columbia Point Dr Ste 105, Richland, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Walter Peck |
|---|---|
| Address | 112 Columbia Point Dr Ste 105, Richland, Washington |
| Phone Number | 5098737140 |
| Fax Number | 5098181303 |
| Sole Proprietor | N |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1457514689 |
|---|---|
| Provider Enumeration Date | 2008-07-08 |
| Last Updated Date | 2020-11-03 |
Provider Mailing Address Detail
| Address | 112 Columbia Point Dr Ste 105 |
|---|---|
| City | Richland |
| State | Washington (WA) |
| Post Code | 993524390 |
| Phone Number | 5098737140 |
| Fax Number | 5098181303 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | MD60343797 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identification code assigned to Jeremy Walter Peck by the Centers for Medicare & Medicaid Services?
The Jeremy Walter Peck has been issued the NPI (National Provider Identifier) 1457514689, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jeremy Walter Peck located?
The Jeremy Walter Peck is located at 112 Columbia Point Dr Ste 105, Richland, WA 993524390.
What is the Jeremy Walter Peck's specialty and taxonomy code?
The Jeremy Walter Peck's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
When did Jeremy Walter Peck receive its 1457514689 assignment?
The Jeremy Walter Peck was assigned its 1457514689 on 2008-07-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jeremy Walter Peck most recently updated?
The details pertaining to the Jeremy Walter Peck, including its address, specialty, and other relevant information, were last refreshed on 2020-11-03.