Healthcare Provider Details

I. General information

NPI: 1699808139
Provider Name (Legal Business Name): JUNEAU BONE & JOINT CENTER, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 HOSPITAL DR
JUNEAU AK
99801-7808
US

IV. Provider business mailing address

3220 HOSPITAL DR
JUNEAU AK
99801-7899
US

V. Phone/Fax

Practice location:
  • Phone: 907-364-2663
  • Fax:
Mailing address:
  • Phone:
  • 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 Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: HANNAH GARITY
Title or Position: PRACTICE MANAGER
Credential:
Phone: 907-364-2663