Individual
DR. MIMI I PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D, M.P.H.
Contact information
Practice address
515 STERNBERG AVE, MACDONALD ARMY COMMUNITY HOSPITAL, FORT EUSTIS, VA 23604-1526
(757) 314-7613
Mailing address
30 MILFORD RD, NEWPORT NEWS, VA 23601-3938
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
0101055670
VA
2083X0100X
Occupational Medicine Physician
Primary
0101055670
VA
Other
Enumeration date
02/08/2006
Last updated
09/27/2007
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