Far North Urology & Research PC
Urology in Anchorage, AK. Organization (NPI-2).
NPI number1740897503
StatusActive
Last updated in NPPESSep 25, 2020
Details
- NPI
- 1740897503
- Entity type
- Organization (NPI-2)
- Legal business name
- Far North Urology & Research PC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2020
- Certification date
- Sep 25, 2020
- Last updated
- Sep 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Practice location
2120 Sonstrom DrAnchorage, AK 99517-1018
Phone 907-351-1258
Mailing address
2120 Sonstrom DrAnchorage, AK 99517-1018
Phone 907-351-1258
Authorized official
William R Clark
President
9073511258
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