MEDICARE: ANCHORAGE FRACTURE AND ORTHOPAEDIC CLINIC, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	433722	AK
2	207X00000X	Orthopaedic Surgery Physician	433722	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285677054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHORAGE FRACTURE AND ORTHOPAEDIC CLINIC, PC

Provider Business Mailing Address
First Line	:	4100 LAKE OTIS PKWY STE 220
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5230
Country	:	US
Telephone Number	:	907-563-3145
Fax Number	:	833-464-5196

Provider Business Practice Location Address
First Line	:	4100 LAKE OTIS PKWY STE 220
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5230
Country	:	US
Telephone Number	:	907-563-3145
Fax Number	:	907-561-3967

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	TAMI MORRILL
Credential	:
Telephone Number	:	907-261-7111

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	03/24/2026

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