| Doctor Name: | PEGGY JO REEP |
| NPI Number: | 1629064092 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 17306 |
| Business Practice Address: | 725 Vixen Run Gatlinburg, TN - 377386344 |
| Business Phone Number: | 8654303453 |
| Business Fax Number: | 8668982159 |
| Mailing Address: | 23625 Commerce Park, Suite 204 BEACHWOOD |
| State: | OH |
| Postal Code: | 441225845 |
| Phone Number: | 2162555700 |
| Fax Number: | 8668982159 |
| NPI Enumeration Date: | 09/21/2005 |
| NPI Last Update Date: | 02/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 17306 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |