SOUTHEAST UROLOGY LLC NPI 1558757765

NPI Information

  • NPI: 1558757765
  • Provider Name: SOUTHEAST UROLOGY, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: SALMON CREEK SURGERY
  • Address: 3225 HOSPITAL DR
    SUITE 102
    JUNEAU, AK
    ZIP 99801
  • Phone: (907) 500-9920

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NPI Details

SOUTHEAST UROLOGY, LLC is an ambulatory surgical clinic center in Juneau, AK. SOUTHEAST UROLOGY, LLC NPI is 1558757765. The provider is registered as an organization entity type.
The provider Is Doing Business As Salmon Creek Surgery.

The provider's business location address is:

3225 HOSPITAL DR
SUITE 102
JUNEAU, AK
ZIP 99801-863
Phone: (907) 500-9920
Fax: (253) 927-5472

The provider's authorized official is Pam Stanfill .
The authorized official title is Billing Manager and has the following contact phone number (253) 223-0515.

The enumeration date for this NPI number is 4/14/2015 and was last updated on 4/14/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalALASKAYes

What is NPI?

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This page was last updated on: 11/21/2025

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