Organization · NPI-2

Alaska Digestive And Liver Disease, LLC

Internal Medicine, Gastroenterology · Anchorage, AK

NPI number1851919146

StatusActive

Last updated in NPPESJul 13, 2020

Details

NPI: 1851919146
Entity type: Organization (NPI-2)
Legal business name: Alaska Digestive And Liver Disease, LLC
Organization subpart: No
Enumeration date: Jul 13, 2020
Certification date: Jul 13, 2020
Last updated: Jul 13, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RG0100X	Internal Medicine, Gastroenterology	–	–	Yes
363L00000X	Nurse Practitioner	–	–
363A00000X	Physician Assistant	–	–
246RP1900X	Technician, Pathology, Phlebotomy	–	–
261QI0500X	Clinic/Center, Infusion Therapy	–	–
163WG0100X	Registered Nurse, Gastroenterology	–	–
163WI0500X	Registered Nurse, Infusion Therapy	–	–

Practice location

3851 Piper St Ste U466
Anchorage, AK 99508-6905

Phone 907-569-1333 · Fax 907-569-1433

Mailing address

3851 Piper St Ste U466
Anchorage, AK 99508-6905

Phone 907-569-1333 · Fax 907-569-1433

Authorized official

Brittany Tylor Ryznar
Practice Manager
9075691333

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