Individual
DR. SHARON ELIZABETH PEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 STOCKYARD RD, BLDG I-200, MISSOULA, MT 59808-1503
(406) 728-8420
(406) 541-8430
Mailing address
PO BOX 17527, MISSOULA, MT 59808-7527
(406) 728-8420
(406) 541-8430
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
C53730
CA
207L00000X
Anesthesiology Physician
Primary
MED-PHYS-LIC-42748
MT
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
C53730
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MED-PHYS-LIC-42748
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36286567
—
CO
Enumeration date
05/28/2006
Last updated
10/28/2015
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