Organization · Type 2 NPI

Southeast Urology Clinic A PC

Urology Physician · Ketchikan, AK

NPI number 1083715262 Active

Practice location

3100 Tongass Ave
Ketchikan, AK 99901-5746

Call (907) 225-1896 Map

Fax (360) 428-4377

Mailing address

1311 E Division St
Mount Vernon, WA 98274

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X121467 (AK)

Urology Physician: 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.

60 other providers at this address

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About NPI 1083715262

Southeast Urology Clinic A PC's National Provider Identifier is 1083715262, issued on Sep 26, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Ketchikan, AK. The record was last updated on Aug 9, 2010.