Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 4836 | AK |
N | 207PE0004X | Emergency Medical Services | 4836 | AK |
N | 207PP0204X | Pediatric Emergency Physician | 4836 | AK |
N | 207V00000X | Obstetrician & Gynecologist | 4836 | AK |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 4836 | AK |
N | 208D00000X | General Practice Physician | 4836 | AK |
NPI | 1669574034 |
---|---|
Provider Name | Dr. Nathan Phillip Peimann |
First Address | Juneau, AK 99802-0150 |
Second Address | Juneau, AK 99801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 08/07/2007 |