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Organization

SOUTHEAST UROLOGY, LLC

Active
Other names
Salmon Creek Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
PAM STANFILL (BILLING MANAGER)
(253) 223-0515
Entity
Organization

Contact information

Practice address
3225 HOSPITAL DR, SUITE 102, JUNEAU, AK 99801-7863
(907) 500-9920
(253) 927-5472
Mailing address
3225 HOSPITAL DR, SUITE 102, JUNEAU, AK 99801-7863
(907) 500-9920
(253) 927-5472

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AK

Other

Enumeration date
04/14/2015
Last updated
04/14/2015
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