| Peavey Medical Pc | |
|
1219 Sw 4th Ave Unit 2 Ontario OR 97914-4500 | |
| (541) 889-2229 | |
| Not Available |
| Full Name | Peavey Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1219 Sw 4th Ave Unit 2, Ontario, Oregon |
| Authorized Official Name and Position | Elisa Ann Peavey (DOCTOR OF OSTEOPATHY) |
| Authorized Official Contact | 5418892229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peavey Medical Pc 1219 Sw 4th Ave Unit 2 Ontario OR 97914-4500 Ph: (541) 889-2229 | Peavey Medical Pc 1219 Sw 4th Ave Unit 2 Ontario OR 97914-4500 Ph: (541) 889-2229 |
| NPI Number | 1144668534 |
|---|---|
| Provider Enumeration Date | 06/07/2013 |
| Last Update Date | 06/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144668534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO161883 (Oregon) | Primary |
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