Dr. Heather Rae Peck
Dermatopathologist
2805 5th St Ste 210
Rapid City
, South Dakota 57701-7330
Dr. Heather Rae Peck
Dermatopathologist
2805 5th St Ste 210
Rapid City
, South Dakota 57701-7330
(605) 343-2267
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About
Features
Specialties
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Dr. Heather Rae Peck
- 2805 5th St Ste 210
- Rapid City, SD
- Zip : 57701-7330
- Phone : (605) 343-2267
Second Address
- Dr. Heather Rae Peck
- 2805 5th St Ste 210
- Rapid City, SD
- Zip : 57701-7330
- Phone : (605) 343-2267
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207ND0900X | Dermatopathologist | 036139839 | IL |
National Provider Identifier
| NPI | 1063681005 |
|---|---|
| Provider Name | Dr. Heather Rae Peck |
| First Address | Rapid City, SD 57701-7330 |
| Second Address | Rapid City, SD 57701-7330 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/02/2008 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.