Peacock, Penny Jean

Peacock, Penny Jean is an sole proprietor health care provider with primary practice located at 1612 Ute Blvd 205, Park City UT 84098-7500. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Peacock, Penny Jean can be contacted via phone (435) 655-3309.

Contact Information

Primary practice address
1612 Ute Blvd 205 Park City UT 84098-7500
Phone: (435) 655-3309
Fax: (435) 655-3392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3764531205 Utah
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3764531205 Utah
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 3764531205 Utah

Profile Details

NPI number 1902864762
LBN Legal business name Peacock, Penny Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated May 16th, 2013 - about 13 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.

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