Individual
DEREK J PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 FOWLER ST STE 1D, RICHLAND, WA 99352-4719
(509) 940-2284
Mailing address
1305 FOWLER ST STE 1D, RICHLAND, WA 99352-4719
(509) 940-2284
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00036578
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152619
L&I
WA
01
—
660003458
MEDICARE RR
WA
05
—
8477630
—
WA
Enumeration date
06/30/2005
Last updated
09/18/2025
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