Healthcare Provider Details

I. General information

NPI: 1609720861
Provider Name (Legal Business Name): VALLEY VASCULAR SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2741 DEBARR RD STE C
ANCHORAGE AK
99508-2961
US

IV. Provider business mailing address

2741 DEBARR RD STE C
ANCHORAGE AK
99508-2961
US

V. Phone/Fax

Practice location:
  • Phone: 907-300-2747
  • Fax:
Mailing address:
  • Phone: 907-300-2747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEAN LURIE
Title or Position: OWNER
Credential: MD
Phone: 907-300-2747