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Individual

BRENDA J PEAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
532 MADISON ST SE, HUNTSVILLE, AL 35801-4205
(256) 704-7325
(256) 704-7330
Mailing address
532 MADISON ST SE, HUNTSVILLE, AL 35801-4205
(256) 704-7325
(256) 704-7330

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-337
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52907840
AL
01
631119966
TAX ID
AL
Enumeration date
06/27/2005
Last updated
07/22/2009
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