NPI 1003169434

Urology Northwest, Ps

Organisation Urology Physician Ketchikan, AK

Practice location

Address: 3100 Tongass Ave 3rd Floor Visiting Clinic, Ketchikan, AK 99901-5746
Phone: (855) 881-5319
Mailing address: 6005 244th St SW 111, Mountlake Terrace, WA 98043-5400

Authorised official

Name: Candy Shalon Chapman
Title: Administrator
Phone: (425) 275-5547

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Alaska →

Registry record

NPI: 1003169434
Entity type: Organization
NPI issued: 23 Oct 2012
Record last updated: 23 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.