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Mr. Brian Charles Peacock
Student in an Organized Health Care Education/Training Program in Berkeley, California
NPI 1194242230

Brian Charles Peacock is a Student in an Organized Health Care Education/Training Program based in Berkeley, CA. Brian Charles Peacock practices in Berkeley, CA. The NPI Number for Brian Charles Peacock is 1194242230 and holds a License No. (California).

The current practice location address for Brian Charles Peacock is 1918 University Ave Ste 2B, Berkeley, CA and can be reached out via phone at 609-276-6305.

Location: 1918 University Ave Ste 2B, Berkeley, CA, 94704-3264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194242230
Provider Name
Brian Charles Peacock
Credential
Provider Entity Type
Individual
Gender
Male
Address
1918 University Ave Ste 2B, Berkeley, CA, 94704-3264
Phone Number
609-276-6305
Fax Number
Provider Enumeration Date
08/29/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1918 University Ave Ste 2B
City
Berkeley
State
California
Zip
94704-3264
Phone Number
609-276-6305
Fax Number
person
Provider Business Mailing Address Details
Address
1918 University Ave Ste 2B
City
Berkeley
State
California
Zip
94704-3264
Phone Number
609-276-6305
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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