Provider Demographics
NPI:1952509556
Name:PEAKE, DARYL WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:WAYNE
Last Name:PEAKE
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 1:16000 JOHNSTON MEMORIAL DR
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-7664
Mailing Address - Country:US
Mailing Address - Phone:276-258-1400
Mailing Address - Fax:276-258-1405
Practice Address - Street 1:16000 JOHNSTON MEMORIAL DR
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211-7664
Practice Address - Country:US
Practice Address - Phone:276-258-1400
Practice Address - Fax:276-258-1405
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS650L207L00000X
VA0101244439207L00000X
TNMD000004437207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology