Basic Information
| Provider Information | |||||||||
| NPI: | 1871565192 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PEK | ||||||||
| FirstName: | ZOLTAN | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24 N 9TH ST | ||||||||
| Address2: | SUITE A | ||||||||
| City: | FORT DODGE | ||||||||
| State: | IA | ||||||||
| PostalCode: | 505013909 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5155746890 | ||||||||
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| Practice Location | |||||||||
| Address1: | 301 HIGHLAND AVE | ||||||||
| Address2: | |||||||||
| City: | SAC CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 505832411 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7126627119 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2006 | ||||||||
| LastUpdateDate: | 12/22/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 32873 | IA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.