Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Glacier Surgical Associates, Inc

Organization Surgery Physician · NPI 1568861086

Glacier Surgical Associates, Inc provides Surgery Physician services 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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