Individual
MRS. DAYNA LYNN PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RCP,RRT
Contact information
Practice address
1023 E CHERRY ST, CUSHING, OK 74023-4105
(918) 225-8208
(918) 225-8209
Mailing address
6767 S YALE AVE, SUITE B, TULSA, OK 74136-3302
(918) 488-9992
(918) 488-9993
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
2490
OK
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
2490
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2490
OKLAHOMA STATE MEDICAL LICENSE
OK
Enumeration date
10/08/2008
Last updated
10/08/2008
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