# PEACE FAMILY MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699956235
- **Authorized official:** DONNA J PEACE MD (PRESIDENT)
- **Authorized official phone:** (928) 535-6667

## Contact information

- **Practice address:** 218 W WHITE MOUNTAIN BLVD, SUITE D, LAKESIDE, AZ 85929
- **Practice address phone:** (928) 367-9995
- **Practice address fax:** (928) 367-9988
- **Mailing address:** PO BOX 99, OVERGAARD, AZ 85933-0099
- **Mailing address phone:** (928) 535-6667
- **Mailing address fax:** (928) 535-5561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 31893 | AZ | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 12/16/2008