| NPI | 1780099051 |
|---|---|
| Doing Business As | CENTRAL PENINSULA FOOT AND ANKLE SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVIS CEO 907-714-4723 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-12-07 |