Individual
DR. JEREMY WILLIAM PEAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR DEPT 8819, SAN DIEGO, CA 92103-8819
(619) 543-6213
Mailing address
P.0. 90263, SAN DIEGO, CA 92169
(619) 203-8628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A97935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538337126
—
CA
Enumeration date
02/15/2008
Last updated
03/04/2010
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