Organization
GEORGE H PEACOCK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA SANTILLANES (OFFICE MANANGER)
(505) 947-6359
Entity
Organization
Contact information
Practice address
804 E NAVAJO ST, FARMINGTON, NM 87401-9119
(505) 947-6359
(505) 326-2773
Mailing address
804 E NAVAJO ST, FARMINGTON, NM 87401-9119
(505) 947-6359
(505) 326-2773
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
76-82
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13136
—
NM
Enumeration date
08/26/2010
Last updated
09/28/2010
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