Healthcare Provider Details

I. General information

NPI: 1003665563
Provider Name (Legal Business Name): MCNAMARA HAND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2024
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 LAKE OTIS PKWY STE 100
ANCHORAGE AK
99508-5235
US

IV. Provider business mailing address

3930 N POINT DR
ANCHORAGE AK
99502-1451
US

V. Phone/Fax

Practice location:
  • Phone: 907-802-6803
  • Fax:
Mailing address:
  • Phone: 907-227-5667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL GORDON MCNAMARA
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 907-227-5667