Individual
PETER E CANNAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 N BINKLEY ST, STE 101, SOLDOTNA, AK 99669
(907) 262-4462
(907) 262-3914
Mailing address
161 N BINKLEY ST, STE 101, SOLDOTNA, AK 99669
(907) 262-4462
(907) 262-3914
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD1040
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1040
—
AK
Enumeration date
08/12/2006
Last updated
07/08/2007
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