Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN EDWARD PEACOCK III, D.O.
ActiveDR. JOHN EDWARD PEACOCK III, D.O. is a Geriatric Medicine healthcare provider located in AUDUBON, Pennsylvania. NPI 1881763613 is currently active in the NPPES registry. Verify at CMS.
Geriatric Medicine · AUDUBON, PA
Registration Details
- NPI Number
- 1881763613
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2006 (19.761973076933 yrs)
- Last Updated
- Jun 3, 2014
- Licenses
-
OS014770 (PA)OS014770 (PA)
Practice Information
- Address
-
10000 SHANNONDELL DRAUDUBON, PA, 194035615Browse PA providers · Browse ZIP 19403
- Phone
- 6107285241
- Fax
- 6107285322
- Primary Specialty
-
Geriatric Medicine
207QG0300X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.