| NPI | 1770723967 |
|---|---|
| Doing Business As | CENTRAL PENINSULA FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVIS CEO 907-714-4723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural (Licence: AK 926294) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 926294) |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 926294) | |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2020-12-07 |