Organization
COLUMBIA RHEUMATOLOGY
Active
Other names
Derek J Peacock MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK J PEACOCK MD (SOLE PROPRIETOR)
(509) 783-2000
Entity
Organization
Contact information
Practice address
512 N YOUNG ST, SUITE C, KENNEWICK, WA 99336-7806
(509) 783-2000
(509) 783-2008
Mailing address
512 N YOUNG ST, SUITE C, KENNEWICK, WA 99336-7806
(509) 783-2000
(509) 783-2008
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00036578
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104777
—
WA
Enumeration date
04/10/2007
Last updated
06/16/2008
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