Southeast Urology Clinic a PC

NPI #1083715262 in Ketchikan, Alaska

Provider Information

NPI Number: 1083715262
Entity Type: Organization
Organization Name: Southeast Urology Clinic a PC
Primary Specialty: Urology
Enumeration Date: Sep 26, 2006
Last Updated: Aug 9, 2010

Practice Location

Address: 3100 TONGASS AVE
City: Ketchikan
State: Alaska
ZIP Code: 99901-5746
Phone: (907) 225-1896

Authorized Official

Name: MS. EVA M SAMTMANA
Title: AMINISTRATOR
Phone: (360) 424-7991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
MR. Gary J Schoenrock, MD	Urology	Ketchikan	AI Deep Dive
Greg O Lund, MD	Urology	Palmer	AI Deep Dive
Robert E Cadoff, M.D.	Urology	Soldotna	AI Deep Dive
DR. Jeff A Simerville, MD	Urology	Palmer	AI Deep Dive

Organizations

Provider Name	Specialty	City
Urology Northwest, Ps Part of Urology Northwest, Ps	Urology	Ketchikan	AI Deep Dive

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