Healthcare Provider Details

I. General information

NPI: 1982692026
Provider Name (Legal Business Name): RUSSELL ERIC BIGGS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 01/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 LAKE OTIS PKWY
ANCHORAGE AK
99508-5229
US

IV. Provider business mailing address

4441 E MCDOWELL RD STE 101
PHOENIX AZ
85008-4503
US

V. Phone/Fax

Practice location:
  • Phone: 907-550-6100
  • Fax:
Mailing address:
  • Phone: 602-273-6770
  • Fax: 602-889-0459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number5482
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: