Organization · NPI-2
Alaska Colorectal Surgery, PC
Colon & Rectal Surgery · Anchorage, AK
NPI number1033128335
StatusActive
Last updated in NPPESNov 9, 2010
Details
- NPI
- 1033128335
- Entity type
- Organization (NPI-2)
- Legal business name
- Alaska Colorectal Surgery, PC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- Nov 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 4148 | AK | Yes |
| 363AS0400X | Physician Assistant, Surgical | 450 | AK | |
| 363LF0000X | Nurse Practitioner, Family | 838 | AK |
Other names
- June M. George, MD, PC (Former Legal Business Name)
Practice location
2751 Debarr RdSte 280
Anchorage, AK 99508-2953
Phone 907-222-1401 · Fax 907-222-1402
Mailing address
2751 Debarr RdSte 280
Anchorage, AK 99508-2953
Phone 907-222-1401 · Fax 907-222-1402
Authorized official
June M. George
Owner
9072221401
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