Penny Peacock, M.D

NPI 1902864762 · on the registry since 2006 · sole proprietor

Practice

Address: 1612 Ute Blvd
205
Park City, UT 84098
Phone: (435) 655-3309
Fax: (435) 655-3392
Organisation at this address: Ihc Health Services Inc
Park City Internal Medicine - Pediatrics, Lc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207R00000X
207R00000X
Also registered as: 208000000X
208M00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah