Healthcare Provider Details

I. General information

NPI: 1376716498
Provider Name (Legal Business Name): STEVEN L. FLOERCHINGER, M.D., A PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 PIPER ST SUITE U468
ANCHORAGE AK
99508-4684
US

IV. Provider business mailing address

3851 PIPER ST SUITE U468
ANCHORAGE AK
99508-4684
US

V. Phone/Fax

Practice location:
  • Phone: 907-561-9540
  • Fax: 907-561-9543
Mailing address:
  • Phone: 907-561-9540
  • Fax: 907-561-9543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number156423
License Number StateAK

VIII. Authorized Official

Name: DR. STEVEN L FLOERCHINGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 907-561-9540