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Organization
SALMON CREEK SURGERY
Active
Organization
SALMON CREEK SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PARK DOSTAL CNP (MANAGER)
(907) 586-3068
Entity
Organization
Contact information
Practice address
3225 HOSPITAL DR, SUITE 102, JUNEAU, AK 99801
(907) 586-3068
Mailing address
3225 HOSPITAL DR, SUITE 102, JUNEAU, AK 99801
(907) 586-3068
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/23/2007
Last updated
11/29/2007
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