| Alaska Medical Specialty Group Llc | |
|
4100 Lake Otis Pkwy Ste 218 Anchorage AK 99508-5230 | |
| (907) 561-5007 | |
| Not Available |
| Full Name | Alaska Medical Specialty Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4100 Lake Otis Pkwy Ste 218, Anchorage, Alaska |
| Authorized Official Name and Position | Alfred Lonser (OWNER) |
| Authorized Official Contact | 9075615007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Medical Specialty Group Llc 16340 Golden View Dr Anchorage AK 99516-4952 Ph: (907) 830-4643 | Alaska Medical Specialty Group Llc 4100 Lake Otis Pkwy Ste 218 Anchorage AK 99508-5230 Ph: (907) 561-5007 |
| NPI Number | 1639645021 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639645021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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