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Contact Information

MICHAEL D PECK, MD
2601 E ROOSEVELT ST
PHOENIX, AZ85008-4973
 Phone: 602-344-5608
 Fax: 602-344-5705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL D PECK · (Male)

NPI Number 1407941602
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 08/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 37413
  • AZ Medicaid 254165
Hospital affiliation(s)
  • MARICOPA MEDICAL CENTER - (Acute Care)
    2601 EAST ROOSEVELT STREET
    PHOENIX, AZ 85008
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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