Organization
PENINSULA SURGICAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANTHONY KING M.D. (PHYSICIAN/OWNER)
(907) 260-7776
Entity
Organization
Contact information
Practice address
254 N BINKLEY ST, SOLDOTNA, AK 99669-7522
(907) 260-7776
(907) 260-7782
Mailing address
254 N BINKLEY ST, SOLDOTNA, AK 99669-7522
(907) 260-7776
(907) 260-7782
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
119577
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG150
—
AK
Enumeration date
02/16/2009
Last updated
04/06/2009
Update your record
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