DR. Shannon Peacock, DC

NPI #1952811895 in Tahoe City, California

Provider Information

NPI Number: 1952811895
Entity Type: Individual
Name: DR. Shannon Peacock, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Oct 5, 2017
Last Updated: May 31, 2018

Practice Location

Address: 645 WEST LAKE BLVD. #3
Address 2: PO BOX 7526
City: Tahoe City
State: California
ZIP Code: 96145-7526
Phone: (530) 583-7475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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