Giebeig Family Medicine Pa

NPI 1417011321 - Family Medicine - 207Q00000X

NPI Details
NPI 1417011321
Enumeration Date 12/22/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PETER WENDELL PETER
Position MEDICAL DIRECTOR
Phone (386) 752-0090
Fax (386) 719-9494
Practice Location
5085 WEST US HWY 90
LAKE CITY FL, 32055, US
Phone (386) 752-0090
Fax (386) 719-9494
Business Location
PO BOX 159
LAKE CITY FL, 32056-0159, US
Phone (386) 752-0090
Fax (386) 719-9494
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1417011321 NPI Number
 

According to our database, Giebeig Family Medicine Pa NPI is 1417011321, taxonomy code is 207Q00000X Giebeig Family Medicine Pa physically located at 5085 West Us Hwy 90, Lake City FL, 32055. NPI Number 1033115704 has the healthcare provider type.

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1417011321 NPI number is provided on an as is basis without warranty of any kind. 1417011321 is maintained by the National Plan & Provider Enumeration System. The contents of Giebeig Family Medicine Pa are for informational purposes only.