Northern Anesthesia And Pain Medicine, LLC
Anesthesiology in Eagle River, AK. Organization (NPI-2).
NPI number1407171069
StatusActive
Last updated in NPPESOct 26, 2016
Details
- NPI
- 1407171069
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern Anesthesia And Pain Medicine, LLC
- Organization subpart
- No
- Enumeration date
- Apr 6, 2010
- Last updated
- Oct 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 940734 | AK | Yes |
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 940734 | AK |
Practice location
10928 Eagle River RdSuite 240
Eagle River, AK 99577-8078
Phone 907-622-7246 · Fax 907-622-7247
Mailing address
10928 Eagle River RdSuite 240
Eagle River, AK 99577-8078
Phone 907-622-7246 · Fax 907-622-7247
Authorized official
Heath McAnally
Manager
9076227246
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