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Individual

MUNRO PEACOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
541 CLINICAL DR, CL 365, INDIANAPOLIS, IN 46202-5111
(317) 274-4359
(317) 274-4311
Mailing address
PO BOX 44994, INDIANAPOLIS, IN 46244-0994

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01035819
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100128860
IN
Enumeration date
04/17/2006
Last updated
01/06/2010
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