Doctor Name: | PEGGY JEAN ENGLEBRAKE |
NPI Number: | 1861566226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 3461 |
Business Practice Address: | Hwy 160 163 Building Ka2010 Kayenta, AZ - 860330368 |
Business Phone Number: | 9286974000 |
Business Fax Number: | |
Mailing Address: | Po Box 4148, Phs 3019 KAYENTA |
State: | AZ |
Postal Code: | 860334148 |
Phone Number: | 9286973698 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 3461 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |