person
Mrs. Hannah Peacock, PA-C
Medical Physician Assistant in Oklahoma City, Oklahoma
NPI 1770106619

Hannah Peacock is a Medical Physician Assistant based in Oklahoma City, OK and is specialized in Medical. Hannah Peacock practices in Oklahoma City, OK and has the professional credentials of PA-C. The NPI Number for Hannah Peacock is 1770106619 and holds a License No. (Oklahoma).

The current practice location address for Hannah Peacock is 1111 N Lee Ave, Oklahoma City, OK and can be reached out via phone at 405-594-5848 and via fax at 405-594-5847.

Location: 1111 N Lee Ave, Oklahoma City, OK, 73112
person
Provider Profile Details
NPI Number
1770106619
Provider Name
Hannah Peacock
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1111 N Lee Ave, Oklahoma City, OK, 73112
Phone Number
405-594-5848
Fax Number
405-594-5847
Provider Enumeration Date
05/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
76077 01 OK OBN CERTIFICATE OF REGISTRATION NO.
3211 01 OK STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1111 N Lee Ave
City
State
Zip
73103-2600
Phone Number
405-594-5848
Fax Number
405-594-5847
person
Provider Business Mailing Address Details
Address
1111 N Lee Ave
City
State
Zip
73103-2600
Phone Number
405-594-5848
Fax Number
405-594-5847
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(Oklahoma)
Definition
Definition to come...
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