Individual
JOEL HEWITT LEFEVRE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12250 E ILIFF AVE, #300, AURORA, CO 80014-6318
(303) 306-4321
(720) 524-1551
Mailing address
1550 S POTOMAC ST, STE 110, AURORA, CO 80012-5433
(303) 306-4321
(720) 524-1551
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
29776
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01297761
—
CO
Enumeration date
11/17/2006
Last updated
07/08/2019
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