Dr. Jeremy Walter Peck
Dermatologist MOHS-Micrographic Surgeon
112 Columbia Point Dr Ste 105
Richland
, Washington 99352-4390
Dr. Jeremy Walter Peck
Dermatologist MOHS-Micrographic Surgeon
112 Columbia Point Dr Ste 105
Richland
, Washington 99352-4390
(509) 818-1303
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeremy Walter Peck
- 112 Columbia Point Dr Ste 105
- Richland, WA
- Zip : 99352-4390
- Fax : (509) 818-1303
- Phone : (509) 873-7140
Second Address
- Dr. Jeremy Walter Peck
- 112 Columbia Point Dr Ste 105
- Richland, WA
- Zip : 99352-4390
- Fax : (509) 818-1303
- Phone : (509) 873-7140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | MD60343797 | WA |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | MD60343797 | WA |
National Provider Identifier
| NPI | 1457514689 |
|---|---|
| Provider Name | Dr. Jeremy Walter Peck |
| First Address | Richland, WA 99352-4390 |
| Second Address | Richland, WA 99352-4390 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2008 |
| Last Update Date | 03/11/2020 |
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.