| NPI | 1275948424 |
|---|---|
| Doing Business As | CENTRAL PENINSULA UROLOGY |
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVIS CEO 907-714-4723 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: AK GACH-003) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2020-12-07 |