Jonathan Dale Peckham
Jonathan Dale Peckham is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
2601 E Roosevelt StPhoenix, AZ 85008-4973
Phone: (602) 344-5445
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1992130884 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 10, 2013 |
| Last updated in NPPES | April 1, 2026 |
| Certification date | April 1, 2026 |
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