Organization · NPI-2

Alaska Advanced Dme LLC

Durable Medical Equipment & Medical Supplies · Anchorage, AK

NPI number1649778697
StatusActive
Last updated in NPPESJan 24, 2018

Details

NPI
1649778697
Entity type
Organization (NPI-2)
Legal business name
Alaska Advanced Dme LLC
Organization subpart
No
Enumeration date
Jan 24, 2018
Last updated
Jan 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

8371 Summerset Dr
Anchorage, AK 99518-2927

Phone 907-223-8414 · Fax 907-771-9726

Mailing address

8371 Summerset Dr
Anchorage, AK 99518-2927

Phone 907-223-8414 · Fax 907-771-9726

Authorized official

Douglas W Cooke
President
9072238414

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