| Southeast Psychiatry | |
|
301 3rd St Juneau AK 99801-1204 | |
| (907) 209-8962 | |
| Not Available |
| Full Name | Southeast Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 301 3rd St, Juneau, Alaska |
| Authorized Official Name and Position | Paul Jiri Topol (PROPRIETOR) |
| Authorized Official Contact | 9072098962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Psychiatry 301 3rd St Juneau AK 99801-1204 Ph: (907) 209-8962 | Southeast Psychiatry 301 3rd St Juneau AK 99801-1204 Ph: (907) 209-8962 |
| NPI Number | 1104068378 |
|---|---|
| Provider Enumeration Date | 04/02/2009 |
| Last Update Date | 04/02/2009 |
| Medicare PECOS PAC ID | 7719035021 |
|---|---|
| Medicare Enrollment ID | O20090424000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104068378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5960 (Alaska) | Primary |
| Provider Name | Paul J Topol |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417038001 PECOS PAC ID: 9739270604 Enrollment ID: I20070807000226 |
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