Jonathan Dale Peckham, PA-C

NPI #1992130884 in Surprise, Arizona

Provider Information

NPI Number
1992130884
Entity Type
Individual
Name
Jonathan Dale Peckham, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Sep 10, 2013
Last Updated
Aug 27, 2020

Practice Location

Address
12361 W BOLA DR STE 100
State
Arizona
ZIP Code
85378-9021
Phone
(602) 641-9486

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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