| NPI | 1154331734 |
|---|---|
| Doing Business As | SOUTHEAST PHYSICIANS SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOSEPH WANNER Chief Financial Officer 907-796-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-11-21 |