PENNY PEACOCK, M.D.

Internal Medicine

Active Individual
NPI: 1902864762

Practice Address

1612 UTE BLVD
205
Park City, UT 84098

Phone: (435) 655-3309

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes 3764531205 (UT)
Pediatrics 208000000X No 3764531205 (UT)
Hospitalist 208M00000X No 3764531205 (UT)

Frequently Asked Questions

NPI 1902864762 is the National Provider Identifier for PENNY PEACOCK, M.D., a Internal Medicine provider located in Park City, UT. This NPI was enumerated on May 2, 2006.
PENNY PEACOCK, M.D. practices at 1612 UTE BLVD, 205, Park City, UT 84098.

Quick Facts

NPI
1902864762
Type
Individual
Enumerated
May 2, 2006
Last Updated
May 16, 2013

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