Organization · Type 2 NPI
South Peninsula General Surgery LLC
Specialist · Homer, AK
NPI number
1164745972
Active
Practice location
104 E Fairview Ave
Homer, AK 99603-7546
Fax (907) 235-1099
Mailing address
PO Box 3287
Homer, AK 99603-3287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2272 (AK) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1164745972
South Peninsula General Surgery LLC's National Provider Identifier is 1164745972, issued on Mar 8, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Homer, AK. The record was last updated on Mar 8, 2010.