SOUTHEAST UROLOGY CLINIC A PC

KETCHIKAN, AK
NPI1083715262
Entity TypeOrganization
Authorized ContactEVA M SAMTMANA
Aministrator
360-424-7991
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: AK  121467)
Enumeration Date2006-09-26
Last Update Date2010-08-09
Business Address
SOUTHEAST UROLOGY CLINIC A PC
3100 TONGASS AVE
KETCHIKAN, AK 99901-5746
Phone number: 907-225-1896
Mailing Address
SOUTHEAST UROLOGY CLINIC A PC
1311 E DIVISION ST
MOUNT VERNON, WA 98274
Phone number: 360-424-7991
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