Provider Demographics
NPI:1205612132
Name:EPLER, PETER
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:EPLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 SECOND AVE
Mailing Address - Street 2:
Mailing Address - City:KETCHIKAN
Mailing Address - State:AK
Mailing Address - Zip Code:99901-5811
Mailing Address - Country:US
Mailing Address - Phone:951-515-6162
Mailing Address - Fax:
Practice Address - Street 1:2631 SECOND AVE
Practice Address - Street 2:
Practice Address - City:KETCHIKAN
Practice Address - State:AK
Practice Address - Zip Code:99901-5811
Practice Address - Country:US
Practice Address - Phone:951-515-6162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker