Kenai Peninsula Urology, Llc

NPI 1033324892 - Specialist - 174400000X

NPI Details
NPI 1033324892
Enumeration Date 05/14/2007
Last Updated 12/20/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY JOHN GARY
Position MANAGING MEMBER
Phone (907) 262-5788
Fax (907) 262-6099
Practice Location
262 N BINKLEY ST
SOLDOTNA AK, 99669-7522, US
Phone (907) 262-5788
Fax (907) 262-6099
Business Location
262 N BINKLEY ST
SOLDOTNA AK, 99669-7522, US
Phone (907) 262-5788
Fax (907) 262-6099
Toxanomy
Taxonomy Code 174400000X
License State Alaska
License Number 2316
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According to our database, Kenai Peninsula Urology, Llc NPI is 1033324892, taxonomy code is 174400000X and license number is 2316, license state is located at Alaska. Kenai Peninsula Urology, Llc physically located at 262 N Binkley St, Soldotna AK, 99669-7522. NPI Number 1033115704 has the healthcare provider type.

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1033324892 NPI number is provided on an as is basis without warranty of any kind. 1033324892 is maintained by the National Plan & Provider Enumeration System. The contents of Kenai Peninsula Urology, Llc are for informational purposes only.