Organization · NPI-2

Alaska Medical Specialists PC

Clinic/Center · Anchorage, AK

NPI number1336815596
StatusActive
Last updated in NPPESAug 30, 2021

Details

NPI
1336815596
Entity type
Organization (NPI-2)
Legal business name
Alaska Medical Specialists PC
Organization subpart
No
Enumeration date
Aug 18, 2021
Certification date
Aug 30, 2021
Last updated
Aug 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

5432 E Northern Lights
Anchorage, AK 99508

Phone 800-557-8950

Mailing address

133 Rollins Ave Ste 3
Rockville, MD 20852-4040

Authorized official

Hirenkumar Italia
MD
8005578950

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