NPI 1871398701
Raymond Peak
Practice location
- Address
- 2902 Avenue B APT B, Council Bluffs, IA 51501-2006
- Phone
- (402) 208-8630
- Mailing address
- 2902 Avenue B, Council Bluffs, IA 51501-2003
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1871398701
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Feb 2025
- Record last updated
- 14 Feb 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.