Derek J Peacock in Richland - Rheumatology

Derek J Peacock - NPI 1720085038

Derek J Peacock is a Rheumatology in Richland, Washington. Derek J Peacock practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Derek J Peacock is 1720085038. The last update date is 2021-06-23.

Derek J Peacock's current location address is 560 Gage Blvd, Richland, Washington. You can contact this provider via phone number 5099423627 and fax number 5099422268. The mailing address for Derek J Peacock is 560 Gage Blvd, Richland, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Derek J Peacock
Address 560 Gage Blvd, Richland, Washington
Phone Number 5099423627
Fax Number 5099422268
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720085038
Provider Enumeration Date 2005-06-30
Last Updated Date 2021-06-23

Provider Mailing Address Detail

Address 560 Gage Blvd
City Richland
State Washington (WA)
Post Code 99352
Phone Number 5099423627
Fax Number 5099422268

Provider's Primary Taxonomy Detail

Speciality Rheumatology
Taxonomy 207Rr0500X
Licence No MD00036578
Definition:
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
152619 WA L&I
8477630 WA --
660003458 WA MEDICARE RR

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FAQs about Derek J Peacock

What is the unique provider identifier assigned to Derek J Peacock?

The Derek J Peacock has been issued the NPI (National Provider Identifier) 1720085038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Derek J Peacock's facilities are geographically located?

The facilities of Derek J Peacock are physically situated at the following location: 560 Gage Blvd, Richland, WA, 99352.

What is Derek J Peacock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Derek J Peacock is Rheumatology, and the corresponding taxonomy classification code for this specialized field is 207Rr0500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1720085038 to Derek J Peacock?

The Derek J Peacock received its 1720085038 assignment from the Centers for Medicare & Medicaid Services on 2005-06-30.

When was the Derek J Peacock's information last updated?

The Derek J Peacock's information was last updated on 2021-06-23.

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