Individual
DR. CORBETT G PEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 W COVINA BLVD, SAN DIMAS, CA 91773-3245
(909) 599-6811
Mailing address
195 W 25TH ST, UPLAND, CA 91784-1113
(909) 985-0675
(909) 985-9735
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A32939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A329390
BLUE SHIELD
CA
05
—
00A329390
—
CA
01
—
930090143
RAILROAD MEDICARE
CA
Enumeration date
05/24/2006
Last updated
02/13/2009
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