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NPI Code Detail

MEDICARE: DR. ROGER ALLEN PEEKS M.D.

MEDICARE: DR. ROGER ALLEN PEEKS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianG39705CA

General Provider Information

NPI Number : 1336258961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER ALLEN PEEKS M.D.
Provider Business Mailing Address
First Line : 6801 COLDWATER CANYON AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-5162
Country : US
Telephone Number : 818-301-6320
Fax Number : 818-766-8352
Provider Business Practice Location Address
First Line : 6801 COLDWATER CANYON AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-5162
Country : US
Telephone Number : 818-301-6320
Fax Number : 818-766-8352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 11/16/2009

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Directions to “ DR. ROGER ALLEN PEEKS M.D.” Practice Location

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