Peek, Bruce William
Peek, Bruce William is an individual health care provider with primary practice located at 294 State Route 89A Suite 107, Cottonwood AZ 86326-3763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Peek, Bruce William can be contacted via phone (928) 634-1331.Contact Information
Primary practice address
294 State Route 89A Suite 107
Cottonwood AZ 86326-3763
Phone: (928) 634-1331
Fax: (928) 634-3130
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14218 | Arizona |
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 14218 | Arizona |
Profile Details
NPI number | 1689776908 |
---|---|
LBN Legal business name | Peek, Bruce William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 5th, 2006 |
Last updated | Jan 7th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689776908 | NPPES |
Arizona | MEDICAID | 270497 |
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