Organization
DARGIE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J DARGIE MD (PHYSICIAN OWNER)
(315) 379-1024
Entity
Organization
Contact information
Practice address
39 W MAIN ST, CANTON, NY 13617-1271
(315) 379-1024
(315) 379-9358
Mailing address
39 W MAIN ST, CANTON, NY 13617-1271
(315) 379-1024
(315) 379-9358
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200449-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01608204
—
NY
Enumeration date
06/30/2008
Last updated
06/30/2008
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