Individual
THOMAS PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 48TH ST, SUITE 1, DES MOINES, IA 50310-1988
(515) 271-6333
(515) 271-6175
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 271-6333
(515) 271-6175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19353
IA
207Q00000X
Family Medicine Physician
Primary
MD-19353
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2127886
—
IA
Enumeration date
08/04/2006
Last updated
10/02/2014
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