Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glacier Surgical Associates, Inc

Organization Surgery Physician · NPI 1568861086

Glacier Surgical Associates, Inc is a Surgery Physician in Palmer, Alaska. Licensed in Alaska. Registered with an NPI since 2014.

Licensed in
AK
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 E Dahlia Ave Ste J
Palmer, AK 99645-6463
Phone: (907) 746-1520
Fax: (907) 746-1521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 8370 (AK)

Record details

NPI number1568861086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Gulley — President · (907) 746-1520
NPI enumeratedAugust 20, 2014
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing addressPo Box 75032, Chicago, IL 60675-5032

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