Individual provider · Type 1 NPI

Wallace W. Peck, MD

Diagnostic Radiology Physician · Newport Beach, CA

NPI number 1508810367 Active

Practice location

One Hoag Drive
Newport Beach, CA 92663-4162

Call (949) 764-5570 Map

Fax (949) 263-0473

Mailing address

Dept La 21555
Pasadena, CA 91185-1555

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700XG52810 (CA)
Diagnostic Radiology Physician Primary 2085R0202XG52810 (CA)
Vascular & Interventional Radiology Physician 2085R0204XG52810 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1508810367

Wallace W. Peck, MD's National Provider Identifier is 1508810367, issued on May 19, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Newport Beach, CA. The record was last updated on Dec 19, 2007.