Russell Degroote MD PC

NPI #1033278155 in Ketchikan, Alaska

Provider Information

NPI Number: 1033278155
Entity Type: Organization
Organization Name: Russell Degroote MD PC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Dec 6, 2006
Last Updated: Dec 21, 2021

Practice Location

Address: 7559 N. TONGASS AVE
City: Ketchikan
State: Alaska
ZIP Code: 99901-9182
Phone: (907) 247-9999

Authorized Official

Name: RUSSELL A DEGROOTE
Title: CEO
Phone: (360) 888-3381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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