Organization · NPI-2

Alaska Urological Institute PC

Urology · Anchorage, AK

NPI number1689716185
StatusActive
Last updated in NPPESJun 12, 2019

Details

NPI
1689716185
Entity type
Organization (NPI-2)
Legal business name
Alaska Urological Institute PC
Organization subpart
No
Enumeration date
Feb 12, 2007
Last updated
Jun 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology–AKYes
207Q00000X Family Medicine–AK
207RH0003X Internal Medicine, Hematology & Oncology–AK
207RP1001X Internal Medicine, Pulmonary Disease––
2085R0001X –AK

Other names

  • Alaska Medical Specialties (Doing Business As)
  • Alaska Urological Associates (Former Legal Business Name)

Practice location

188 W Northern Lights Blvd
Suite 800
Anchorage, AK 99503

Phone 907-276-2806 · Fax 907-276-2815

Mailing address

188 W Northern Lights Blvd
Suite 800
Anchorage, AK 99503

Phone 907-276-2806 · Fax 907-276-2815

Authorized official

William R Clark
President
9072762844

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