SOUTH PENINSULA GENERAL SURGERY LLC NPI 1164745972

NPI Information

SOUTH PENINSULA GENERAL SURGERY LLC is a specialist in Homer, AK. The provider is 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. SOUTH PENINSULA GENERAL SURGERY LLC NPI is 1164745972. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

104 E FAIRVIEW AVE
HOMER, AK
ZIP 99603-546
Phone: (907) 235-1010
Fax: (907) 235-1099

The provider's authorized official is Rene L Alvarez .
The authorized official title is Owner and has the following contact phone number (907) 235-1010.

The enumeration date for this NPI number is 3/8/2010 and was last updated on 3/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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