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PIONEER PEAK SURGERY CENTER LLC NPI 1457433658


NPI Profile

NPI: 1457433658
Provider Name: PIONEER PEAK SURGERY CENTER, LLC
Classification:Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
3035 PALMER WASILLA HWY
SUITE 301
WASILLA, AK
ZIP 99654
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Phone: (907) 770-3213

PIONEER PEAK SURGERY CENTER, LLC is a pain clinic center in Wasilla, AK. PIONEER PEAK SURGERY CENTER, LLC NPI is 1457433658. The provider is registered as an organization entity type.

The provider's business location address is:

3035 PALMER WASILLA HWY
SUITE 301
WASILLA, AK
ZIP 99654-234
Phone: (907) 770-3213

The provider's authorized official is Shauna Baughcum .
The authorized official title is Administrator and has the following contact phone number (907) 770-3213.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP3300XClinic/CenterPainALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 1/9/2022

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