IndividualActive
Michael Peck, IDC
NPI 1407898539 · Independent Duty Corpsman · Pearl Harbor, HI
Provider details
- NPI number
- 1407898539
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
Specialties & taxonomies
Other Service Providers
Practice location
822 Clark St
Suite 400
Pearl Harbor, HI 96860-4652
Phone: (808) 473-1094
Fax: (808) 473-3109
Approximate (ZIP-level) locationGet directions
Mailing address
86-227 Moelua St
Waianae, HI 96792-4417
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.