Organization
PENINSULA EYE CLINIC, APC
Active
Other names
Peter E Cannava MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER E CANNAVA (OWNER)
(907) 262-4462
Entity
Organization
Contact information
Practice address
161 N BINKLEY ST, SUITE 201, SOLDOTNA, AK 99669
(907) 262-4462
(907) 262-3914
Mailing address
161 N BINKLEY ST, SUITE 201, SOLDOTNA, AK 99669
(907) 262-4462
(907) 262-3914
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1040
—
AK
Enumeration date
04/18/2007
Last updated
08/22/2020
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