Search › California › 172M00000X
Gregory Peck, LPTA
NPI 1396095642 · on the registry since 2012 · sole proprietor
Practice
- Address
- 9017 Buckeye Dr
Fontana, CA 92335 - Phone
- (951) 203-9017
Registry record
- Primary taxonomy
- 172M00000X
172M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California