Organization
SUSITNA SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY MUSIC (AO-DIRECTOR, PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
2490 S WOODWORTH LOOP STE 100, PALMER, AK 99645-7410
(907) 861-6540
(907) 861-6309
Mailing address
2490 S WOODWORTH LOOP STE 100, PALMER, AK 99645-7410
(907) 861-5640
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2018
Last updated
08/21/2024
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