JUNEAU SPINE AND PAIN CENTER LLC NPI 1821327560

NPI Information

JUNEAU SPINE AND PAIN CENTER LLC is an ambulatory surgical clinic center in Juneau, AK. JUNEAU SPINE AND PAIN CENTER LLC NPI is 1821327560. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeast Alaska Surgery Center.

The provider's business location address is:

3200 HOSPITAL DR
SUITE 100
JUNEAU, AK
ZIP 99801-808
Phone: (907) 523-5962
Fax: (800) 766-1962

The provider's authorized official is John Bursell .
The authorized official title is Member and has the following contact phone number (907) 723-9885.

The CLIA number assigned to this NPI record is 02D2002742 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 3/23/2016.

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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