Individual
DR. SAMUEL M PEIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 956-0130
Mailing address
650 JOEL DR, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 956-0130
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
38836
IA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
38836
IA
2083X0100X
Occupational Medicine Physician
38836
IA
Other
Enumeration date
07/25/2008
Last updated
07/31/2013
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