MEDICARE: AURORA ENT, 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
1	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1427226836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURORA ENT, LLC

Provider Business Mailing Address
First Line	:	3340 PROVIDENCE DR
Second Line	:	SUITE 461
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4627
Country	:	US
Telephone Number	:	907-277-6673
Fax Number	:	907-277-6695

Provider Business Practice Location Address
First Line	:	3340 PROVIDENCE DR STE 461
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-4628
Country	:	US
Telephone Number	:	907-277-6673
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MARY C TOTTEN
Credential	:	M.D.
Telephone Number	:	907-277-6673

Provider Enumeration Date	:	02/19/2008
Last Update Date	:	04/04/2008

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Directions to “AURORA ENT, LLC ” Practice Location

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