Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | R843 | AZ |
N | 111NI0900X | Internist | R843 | AZ |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 005079 | AZ |
NPI | 1023230778 |
---|---|
Provider Name | Allison Marie Peckumn |
First Address | Phoenix, AZ 85021-1660 |
Second Address | Phoenix, AZ 85021-1660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 12/10/2016 |