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Brad Lee Peck, DPM
Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina
NPI 1730760307

Brad Lee Peck is a Student in an Organized Health Care Education/Training Program based in Fayetteville, NC. Brad Lee Peck practices in Fayetteville, NC and has the professional credentials of DPM. The NPI Number for Brad Lee Peck is 1730760307 and holds a License No. (North Carolina).

The current practice location address for Brad Lee Peck is 1638 Owen Drive, Fayetteville, NC and can be reached out via phone at 910-484-4191.

Location: 1638 Owen Drive, Fayetteville, NC, 28304-3424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730760307
Provider Name
Brad Lee Peck
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1638 Owen Drive, Fayetteville, NC, 28304-3424
Phone Number
910-484-4191
Fax Number
Provider Enumeration Date
04/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1638 Owen Drive
City
Fayetteville
State
North Carolina
Zip
28304-3424
Phone Number
910-484-4191
Fax Number
person
Provider Business Mailing Address Details
Address
1638 Owen Drive
City
Fayetteville
State
North Carolina
Zip
28304-3424
Phone Number
910-484-4191
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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