Organization
CHARLES G. PERKINS
Active
Other names
Peninsula Neurology Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES G PERKINS MD (OWNER)
(907) 262-6557
Entity
Organization
Contact information
Practice address
167 WAREHOUSE AVE, SUITE C, SOLDOTNA, AK 99669
(907) 262-6557
(907) 262-6559
Mailing address
167 WAREHOUSE AVE, SUITE C, SOLDOTNA, AK 99669
(907) 262-6557
(907) 262-6559
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2407
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M2407
—
AK
Enumeration date
08/10/2010
Last updated
09/13/2010
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