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Organization
COLCHIS MEDICAL SERVICES
Active
Organization
COLCHIS MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PEACOCK DO (PRESIDENT)
(909) 787-2342
Entity
Organization
Contact information
Practice address
1111B S GOVERNORS AVE STE 25428, DOVER, DE 19904-6903
(909) 787-2342
Mailing address
1980 FESTIVAL PLAZA DR STE 400, LAS VEGAS, NV 89135-2930
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
07/07/2025
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