| 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 |
|---|---|
| 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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