Organization
PIONEER PEAK SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNA BAUGHCUM (ADMINISTRATOR)
(907) 770-3213
Entity
Organization
Contact information
Practice address
3035 PALMER WASILLA HWY, SUITE 301, WASILLA, AK 99654-7234
(907) 770-3213
Mailing address
3035 PALMER WASILLA HWY, SUITE 301, WASILLA, AK 99654-7234
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
AK
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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