Bongo Medical | |
3260 Providence Dr #523 Anchorage AK 99508-4608 | |
(907) 569-1049 | |
(907) 563-4564 |
Full Name | Bongo Medical |
---|---|
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 3260 Providence Dr, Anchorage, Alaska |
Authorized Official Name and Position | Leslie A. Glasgow (CEO) |
Authorized Official Contact | 9075691049 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bongo Medical 3260 Providence Dr #523 Anchorage AK 99508-4608 Ph: (907) 569-1049 | Bongo Medical 3260 Providence Dr #523 Anchorage AK 99508-4608 Ph: (907) 569-1049 |
NPI Number | 1619935558 |
---|---|
Provider Enumeration Date | 05/02/2006 |
Last Update Date | 01/03/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619935558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
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