Peninsula Ear, Nose & Throat Clinic, Inc. | |
220 Spur View Dr Kenai AK 99611-6880 | |
(907) 283-5400 | |
Not Available |
Full Name | Peninsula Ear, Nose & Throat Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 220 Spur View Dr, Kenai, Alaska |
Authorized Official Name and Position | James Victor Zirul (OWNER) |
Authorized Official Contact | 9072835400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peninsula Ear, Nose & Throat Clinic, Inc. 220 Spur View Dr Kenai AK 99611-6880 Ph: (907) 283-5400 | Peninsula Ear, Nose & Throat Clinic, Inc. 220 Spur View Dr Kenai AK 99611-6880 Ph: (907) 283-5400 |
NPI Number | 1841469996 |
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Provider Enumeration Date | 02/22/2008 |
Last Update Date | 02/22/2008 |
Medicare PECOS PAC ID | 5698851400 |
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Medicare Enrollment ID | O20080319000532 |
Identifier | Type | State | Issuer |
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1841469996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 911644 (Alaska) | Primary |
Provider Name | James V Zirul |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1891894606 PECOS PAC ID: 6507941440 Enrollment ID: I20080317000428 |
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