Organization
PETER M. CARNEY, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MALLISON CARNEY MD (PRESIDENT)
(574) 389-7737
Entity
Organization
Contact information
Practice address
244 WATERFALL DR, ELKHART, IN 46516-3668
(574) 389-7737
(574) 389-3196
Mailing address
244 WATERFALL DR, ELKHART, IN 46516-3668
(574) 389-7737
(574) 389-3196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01034527A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113110
—
IN
Enumeration date
06/12/2014
Last updated
08/04/2015
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