Provider Demographics
NPI:1013004522
Name:PEEPLES, GUY L (MD)
Entity Type:Individual
Prefix:MR
First Name:GUY
Middle Name:L
Last Name:PEEPLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 1116
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-1116
Mailing Address - Country:US
Mailing Address - Phone:870-741-6418
Mailing Address - Fax:870-741-5071
Practice Address - Street 1:604 N SPRING ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2952
Practice Address - Country:US
Practice Address - Phone:870-741-6418
Practice Address - Fax:870-741-5071
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR4524208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR123444001Medicaid
ARC7096Medicare UPIN
C70936Medicare UPIN
AR123444001Medicaid