Organization
MAT-SU SURGICAL ASSOCIATES APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARTH W LECHEMINANT MD (GENERAL SURGEON)
(907) 745-8100
Entity
Organization
Contact information
Practice address
3674 E MERIDIAN LOOP, WASILLA, AK 99654-7272
(907) 373-8100
Mailing address
PO BOX 876774, WASILLA, AK 99687-6774
(907) 745-9401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5147
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD5147
—
AK
Enumeration date
09/11/2006
Last updated
09/18/2025
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