Organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Active
Parent organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Other names
Central Peninsula Endocrinology and Diabetes
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Authorized official
MICHAEL JON HAGGERTY (CFO)
(907) 714-4722
Entity
Organization
Contact information
Practice address
209 W KATMAI AVE, SOLDOTNA, AK 99669-7409
(907) 714-4726
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4726
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
11/03/2023
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