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NPI Code Detail

MEDICARE: ALASKA NEUROLOGY CENTER LLC

MEDICARE: ALASKA NEUROLOGY CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician
22084P0805XGeriatric Psychiatry Physician
32084S0012XSleep Medicine (Psychiatry & Neurology) Physician
42084N0400XNeurology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235310954
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALASKA NEUROLOGY CENTER LLC
Provider Business Mailing Address
First Line : 1100 E DIMOND BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-2010
Country : US
Telephone Number : 907-565-6000
Fax Number : 907-565-6001
Provider Business Practice Location Address
First Line : 1100 E DIMOND BLVD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-2010
Country : US
Telephone Number : 907-565-6000
Fax Number : 907-565-6001
Authorized Official
Title or Position : PRACTICE MANAGER
Name : AMBERLY HOBBS
Credential :
Telephone Number : 907-565-6000
Provider Enumeration Date : 11/21/2007
Last Update Date : 09/13/2023

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Directions to “ALASKA NEUROLOGY CENTER LLC ” Practice Location

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