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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PENNY JEAN PEACOCK, M.D.

Active Sole Proprietor

PENNY JEAN PEACOCK, M.D. is a Internal Medicine healthcare provider located in PARK CITY, Utah. NPI 1902864762 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · PARK CITY, UT

Registration Details

NPI Number
1902864762
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2006 (20.256388017216 yrs)
Last Updated
May 16, 2013
Licenses
3764531205 (UT)
3764531205 (UT)
3764531205 (UT)
Sole Proprietor
Yes

Practice Information

Address
1612 UTE BLVD
205
PARK CITY, UT, 840987500
Browse UT providers · Browse ZIP 84098
Phone
4356553309
Fax
4356553392
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Pediatrics
Additional Specialty
Hospitalist

Other Internal Medicine Providers in PARK CITY, UT

Name Credential NPI
DR. JOSHUA TURNER NAPIER MD 1013981539
DR. JENNIFER A KNEPPER M.D. 1437196144
DR. KIRSTEN LEAH NOVAK M.D. 1336175967
MARY H PARSONS MD 1508956129
TODD ANDREW BIGATEL M.D. 1043388325
MAIA H HIGHTOWER MD MPH 1770603946
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.