Organization
SOUTH PENINSULA GENERAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENE L ALVAREZ MD (OWNER)
(907) 235-1010
Entity
Organization
Contact information
Practice address
104 E FAIRVIEW AVE, HOMER, AK 99603-7546
(907) 235-1010
(907) 235-1099
Mailing address
PO BOX 3287, HOMER, AK 99603-3287
(907) 235-1010
(907) 235-1099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2272
AK
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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