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

Southeast Urology Clinic a PC

Organization Urology Physician · NPI 1083715262

Southeast Urology Clinic a PC is an Urology Physician in Ketchikan, Alaska. Licensed in Alaska. Registered with an NPI since 2006.

Licensed in
AK
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone: (907) 225-1896
Fax: (360) 428-4377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 121467 (AK)

Record details

NPI number1083715262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eva Samtmana — Aministrator · (360) 424-7991
NPI enumeratedSeptember 26, 2006
Last updated in NPPESAugust 9, 2010
Mailing address1311 E Division St, Mount Vernon, WA 98274

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