Mark D Peckham Od PC

NPI #1346419645 in Festus, Missouri

Provider Information

NPI Number: 1346419645
Entity Type: Organization
Organization Name: Mark D Peckham Od PC
Primary Specialty: Optometrist
Enumeration Date: Feb 21, 2008
Last Updated: Mar 5, 2008

Practice Location

Address: 600 WESTWOOD
City: Festus
State: Missouri
ZIP Code: 63028-2061
Phone: (636) 937-4747

Authorized Official

Name: MARK D PECKHAM, OD
Title: DOCTOR OWNER OPTOMETRIST
Phone: (636) 927-4747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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