Organization · Type 2 NPI

Peacehealth

Surgery Physician · Ketchikan, AK

NPI number 1235556846 Active

Practice location

212 Carlanna Lake Rd, #204
Ketchikan, AK 99901-5642

Mailing address

1115 SE 164th Ave, Dept 358
Vancouver, WA 98683-9324

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X5790 (AK)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1235556846

Peacehealth's National Provider Identifier is 1235556846, issued on Mar 20, 2014. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Ketchikan, AK. The record was last updated on Mar 20, 2014.