George H Peacock Md Pc | |
804 E Navajo St Farmington NM 87401-9119 | |
(505) 947-6359 | |
(505) 326-2773 |
Full Name | George H Peacock Md Pc |
---|---|
Speciality | General Practice |
Location | 804 E Navajo St, Farmington, New Mexico |
Authorized Official Name and Position | Darla Santillanes (OFFICE MANANGER) |
Authorized Official Contact | 5059476359 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
George H Peacock Md Pc 804 E Navajo St Farmington NM 87401-9119 Ph: (505) 947-6359 | George H Peacock Md Pc 804 E Navajo St Farmington NM 87401-9119 Ph: (505) 947-6359 |
NPI Number | 1417263534 |
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Provider Enumeration Date | 08/26/2010 |
Last Update Date | 09/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417263534 | NPI | - | NPPES |
13136 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 76-82 (New Mexico) | Primary |
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