| Doctor Name: | DAVID A PECK |
| NPI Number: | 1598831398 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | AP30003820 |
| Business Practice Address: | 500 E. Webster Chewelah, WA - 99109 |
| Business Phone Number: | 5099358211 |
| Business Fax Number: | |
| Mailing Address: | Po Box 197, CHEWELAH |
| State: | WA |
| Postal Code: | 991090197 |
| Phone Number: | 5099358211 |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | AP30003820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |