NPI 1164745972

South Peninsula General Surgery LLC

Organisation Specialist Homer, AK

Practice location

Address: 104 E Fairview Ave, Homer, AK 99603-7546
Phone: (907) 235-1010
Fax: (907) 235-1099
Mailing address: PO Box 3287, Homer, AK 99603-3287

Authorised official

Name: Rene L Alvarez
Title: Owner
Phone: (907) 235-1010

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2272 (AK)

Other Specialist providers in Alaska →

Registry record

NPI: 1164745972
Entity type: Organization
NPI issued: 8 Mar 2010
Record last updated: 8 Mar 2010

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.