Individual
DR. SETH PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6141 BURLINGTON AVE, INDIANAPOLIS, IN 46220-2409
(303) 717-3329
Mailing address
6141 BURLINGTON AVE, INDIANAPOLIS, IN 46220-2409
(303) 717-3329
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
11013309A
IN
207P00000X
Emergency Medicine Physician
Primary
DR.0051730
CO
Other
Enumeration date
06/09/2007
Last updated
10/04/2012
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