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MINNIE STREET SURGERY CENTER, LLC 1497422919

Overview
Name: MINNIE STREET SURGERY CENTER, LLC Specialty: Ambulatory Surgical Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Ambulatory Surgical. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: MINNIE STREET SURGERY CENTER, LLC,MINNIE STREET SURGERY CENTER,114 MINNIE ST STE A,FAIRBANKS,AK,997013000,US Mailing Address: MINNIE STREET SURGERY CENTER, LLC,MINNIE STREET SURGERY CENTER,114 MINNIE ST STE A,FAIRBANKS,AK,997013000,US
Contact #
Practice location phone #: 9074798844 Practice location fax #: Mailing address Phone #: 9074798844 Mailing Address fax #: Authorized official Name/Telephone #:DR., GREGORY, L, JOHNSON, DDS, MEMBER 9074798844
Misc
Date NPI was obtained: 08/24/2021 Last data data was updated: 12/02/2021 Insurances:

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