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Southeast Urology Clinic A Pc
Urology Physician in Ketchikan, Alaska
NPI 1083715262

Southeast Urology Clinic A Pc is a Urology Physician based in Mount Vernon, AK. Southeast Urology Clinic A Pc practices in Ketchikan, AK. The NPI Number for Southeast Urology Clinic A Pc is 1083715262 and holds a License No. 121467 (Alaska).

The current practice location address for Southeast Urology Clinic A Pc is 3100 Tongass Ave, Ketchikan, AK and can be reached out via phone at 907-225-1896 and via fax at 360-428-4377.

Location: 3100 Tongass Ave, Ketchikan, AK, 98274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083715262
Provider Name
Southeast Urology Clinic A Pc
Credential
Provider Entity Type
Organization
Address
3100 Tongass Ave, Ketchikan, AK, 98274
Phone Number
907-225-1896
Fax Number
360-428-4377
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0126 05 AK
institution
Provider Business Practice Location Address Details
Address
3100 Tongass Ave
City
Ketchikan
State
Alaska
Zip
99901-5746
Phone Number
907-225-1896
Fax Number
360-428-4377
person
Provider Business Mailing Address Details
Address
3100 Tongass Ave
City
Ketchikan
State
Alaska
Zip
99901-5746
Phone Number
907-225-1896
Fax Number
360-428-4377
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
121467 (Alaska)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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