MEDICARE: DR. BRUCE WILLIAM PEEK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	14218	AZ
2	207RI0011X	Interventional Cardiology Physician	14218	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689776908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE WILLIAM PEEK MD

Provider Business Mailing Address
First Line	:	1200 N BEAVER ST
Second Line	:	PAYER CREDENTIALING
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-3118
Country	:	US
Telephone Number	:	928-773-2559
Fax Number	:	928-213-6292

Provider Business Practice Location Address
First Line	:	294 STATE ROUTE 89A
Second Line	:	SUITE 107
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-3763
Country	:	US
Telephone Number	:	928-634-1331
Fax Number	:	928-634-3130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	01/07/2016

Similar Medicare Providers

1700889425 — DR. STEVE M HEILBRUNN MD
Practice Location Address:

294 STATE ROUTE 89A , SUITE 107
COTTONWOOD, AZ
86326-3763

Practice Phone: 928-634-1331
Practice Fax: 928-634-3130

1134694342 — CAROL J LAWSON RN CDE
Practice Location Address:

294 W STATE ROUTE 89A STE 102
COTTONWOOD, AZ
86326-3763

Practice Phone: 928-639-6346
Practice Fax: 928-639-6623

1356238554 — ZAHRA ADNAN MD
Practice Location Address:

269 S CANDY LANE VERDE VALLEY MEDICAL CENTER , ATTN: RESIDENCY PROGRAM
COTTONWOOD, AZ
86326

Practice Phone: 928-639-6054
Practice Fax:

1619460532 — DR. AMBER MARIE BAHM NP
Practice Location Address:

51 S BRIAN MICKELSEN PKWY
COTTONWOOD, AZ
86326-3610

Practice Phone: 928-639-8132
Practice Fax: 866-274-8919

1629924832 — DR. SAMUEL BRIAN WIESE PT, DPT, SCS
Practice Location Address:

960 S MAIN ST STE H
COTTONWOOD, AZ
86326-5436

Practice Phone: 928-852-2429
Practice Fax:

1942194287 — MR. AMIT KUMAR M.D.
Practice Location Address:

VERDE VALLEY MEDICAL CENTER, RESIDENCY PROGRAM , 269 S CANDY LANE
COTTONWOOD, AZ
86326

Practice Phone: 928-639-6054
Practice Fax:

Directions to “ DR. BRUCE WILLIAM PEEK MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.