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Individual

MEREDITH L. PEAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6129
(310) 698-7054
Mailing address
2374 E PACIFICA PL, RANCHO DOMINGUEZ, CA 90220-6214
(310) 225-3244
(310) 698-7054

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G57718
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD152960
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G577180
CA
Enumeration date
06/16/2006
Last updated
01/27/2016
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