| NPI | 1154194819 |
|---|---|
| Doing Business As | CENTRAL PENINSULA GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JON HAGGERTY CFO 907-714-4722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2024-01-16 |