OrganizationActive
Southeast Urology Clinic a PC
NPI 1083715262 · Urology Physician · Ketchikan, AK
Southeast Urology Clinic a PC is a Urology Physician organization in Ketchikan, AK (NPI 1083715262).
Provider details
- NPI number
- 1083715262
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eva Samtmana, Aministrator(360) 424-7991
- License
- 121467 (AK)
Practice location
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone: (907) 225-1896
Fax: (360) 428-4377
Street-level locationGet directions
Mailing address
1311 E Division St
Mount Vernon, WA 98274
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2010-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.