Organization
PEACE FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J PEACE MD (PRESIDENT)
(928) 535-6667
Entity
Organization
Contact information
Practice address
218 W WHITE MOUNTAIN BLVD, SUITE D, LAKESIDE, AZ 85929
(928) 367-9995
(928) 367-9988
Mailing address
PO BOX 99, OVERGAARD, AZ 85933-0099
(928) 535-6667
(928) 535-5561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31893
AZ
Other
Enumeration date
11/26/2007
Last updated
12/16/2008
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