Provider Demographics
NPI:1013350297
Name:PEEKE, STEPHEN ZACHARY (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:ZACHARY
Last Name:PEEKE
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 1:501 RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-2313
Mailing Address - Country:US
Mailing Address - Phone:302-584-4527
Mailing Address - Fax:
Practice Address - Street 1:501 RIDGEVIEW DR
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-2313
Practice Address - Country:US
Practice Address - Phone:302-584-4527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program