Doctor Name: | DR. STEPHEN TRAVIS PEAKE |
NPI Number: | 1184954752 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD0000040085 |
Business Practice Address: | 3200 W End Ave Ste 305 Nashville, TN - 372031367 |
Business Phone Number: | 6153868515 |
Business Fax Number: | 6153868586 |
Mailing Address: | 3200 W End Ave Ste 305, NASHVILLE |
State: | TN |
Postal Code: | 372031367 |
Phone Number: | 6153868515 |
Fax Number: | 6153868586 |
NPI Enumeration Date: | 01/05/2010 |
NPI Last Update Date: | 01/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD0000040085 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |