Healthcare Provider Details
I. General information
NPI: 1811794035
Provider Name (Legal Business Name): PINNACLE M.E.S. INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2518 E TUDOR RD # SUT106
ANCHORAGE AK
99507-1105
US
IV. Provider business mailing address
2518 E TUDOR RD STE 106
ANCHORAGE AK
99507-1105
US
V. Phone/Fax
- Phone: 907-223-3564
- Fax:
- Phone: 559-630-5933
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 209800000X |
| Taxonomy | Legal Medicine (M.D./D.O.) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRENT
COLMAN
Title or Position: OWNER
Credential:
Phone: 907-223-3564