| Cerebral Medical Group, A Professional Corporation | |
|
8585 Old Dairy Rd Ste 208 Juneau AK 99801-8094 | |
| (415) 403-2156 | |
| Not Available |
| Full Name | Cerebral Medical Group, A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8585 Old Dairy Rd Ste 208, Juneau, Alaska |
| Authorized Official Name and Position | Michael Boggs (PRESIDENT) |
| Authorized Official Contact | 4154899369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerebral Medical Group, A Professional Corporation 2093 Philadelphia Pike # 9898 Claymont DE 19703-2424 Ph: (415) 403-2156 | Cerebral Medical Group, A Professional Corporation 8585 Old Dairy Rd Ste 208 Juneau AK 99801-8094 Ph: (415) 403-2156 |
| NPI Number | 1255095105 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255095105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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