Organization
SOUTHEAST UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SALTZMAN MD (OWNER)
(907) 500-9920
Entity
Organization
Contact information
Practice address
3227 GLACIER HWY, JUNEAU, AK 99801-7842
(907) 500-9920
(907) 500-9932
Mailing address
3227 GLACIER HWY, JUNEAU, AK 99801-7842
(907) 500-9920
(907) 500-9932
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5529
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1840
—
AK
Enumeration date
03/22/2010
Last updated
10/05/2010
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