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Contact Information

PIONEER PEAK ORTHOPEDICS LLC
3765 E. BLUE LUPINE DR. SUITE D
WASILLA, AK99654
 Phone: 907-707-1671
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PIONEER PEAK ORTHOPEDICS LLC

NPI Number 1548639727
LBN Legal business name PIONEER PEAK ORTHOPEDICS LLC
Authorized official MICHAEL MONTANO - (PHYSICIAN AND 1/3 OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2015
Last updated 10/05/2023 - About 3 years ago
Identifiers
AK Medicaid 1635143
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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