Organization
COPPER BASIN SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLINDA SMITH (BUSINESS DEVELOPMENT DIRECTOR)
(907) 301-4409
Entity
Organization
Contact information
Practice address
3035 E PALMER WASILLA HWY STE 501, WASILLA, AK 99654-7274
(907) 357-5300
Mailing address
3035 E PALMER WASILLA HWY STE 501, WASILLA, AK 99654-7274
(907) 357-5300
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
04/17/2025
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