| NPI | 1013791227 |
|---|---|
| Doing Business As | CENTRAL PENINSULA ENDOCRINOLOGY AND DIABETES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JON HAGGERTY CFO 907-714-4722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-11-03 |