# JUNEAU SPINE AND PAIN CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeast Alaska Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821327560
- **Authorized official:** JOHN BURSELL MD (MEMBER)
- **Authorized official phone:** (907) 723-9885

## Contact information

- **Practice address:** 3200 HOSPITAL DR, SUITE 100, JUNEAU, AK 99801-7808
- **Practice address phone:** (907) 523-5962
- **Practice address fax:** (800) 766-1962
- **Mailing address:** 3200 HOSPITAL DR, SUITE 100, JUNEAU, AK 99801-7808
- **Mailing address phone:** (907) 523-5962
- **Mailing address fax:** (800) 766-1962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 360285 | AK | Yes |

## Other

- **Enumeration date:** 12/09/2009
- **Last updated:** 03/23/2016