Individual
ROBERT E PEEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2029 GORDON COOPER DR, SHAWNEE, OK 74801-9005
(405) 878-5850
Mailing address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
(405) 701-7631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1143
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00731972
MEDICARE RAILROAD
—
Enumeration date
07/12/2005
Last updated
03/25/2026
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