| Doctor Name: | DR. C. BRIAN PEFFER |
| NPI Number: | 1073577995 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | SC001923-L |
| Business Practice Address: | 890 Poplar Church Rd Suite 301 Camp Hill, PA - 170112250 |
| Business Phone Number: | 7177634693 |
| Business Fax Number: | 7177634694 |
| Mailing Address: | 890 Poplar Church Rd, Suite 301 CAMP HILL |
| State: | PA |
| Postal Code: | 170112250 |
| Phone Number: | 7177634693 |
| Fax Number: | 7177634694 |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 06/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | SC001923-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |