Individual
MICHAEL PEEBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1214 COOLIDGE, LAFAYETTE, LA 70505
(337) 289-7172
Mailing address
P O BOX 404282, ATLANTA, GA 30384
(770) 874-5400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
023823
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1485381
—
LA
Enumeration date
09/22/2006
Last updated
07/09/2007
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