SOUTHEAST UROLOGY CLINIC A PC
Organization (NPI-2)
Active
Urology
Provider Information
- NPI Number
1083715262- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3100 TONGASS AVE, KETCHIKAN, AK, 999015746
- Phone
- (907) 225-1896
- Fax
- (360) 428-4377
Specialties & Taxonomies
Urology
Primary License: AK #121467