Individual provider · Type 1 NPI

Jennifer K. Peck, PA-C

Surgical Physician Assistant · Beachwood, OH

NPI number 1154407757 Active

Practice location

3401 Enterprise Pkwy, Suite 300
Beachwood, OH 44122-7341

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1072660 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1154407757

Jennifer K. Peck, PA-C's National Provider Identifier is 1154407757, issued on Oct 27, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Beachwood, OH. The record was last updated on Jul 8, 2007.