Evergreen Anesthesia LLC
Anesthesiology in Anchorage, AK. Organization (NPI-2).
NPI number1982143640
StatusActive
Last updated in NPPESFeb 14, 2017
Details
- NPI
- 1982143640
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen Anesthesia LLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2017
- Last updated
- Feb 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
1335 Gambell StAnchorage, AK 99501-4629
Phone 907-222-6500
Mailing address
1335 Gambell StAnchorage, AK 99501-4629
Phone 907-222-6500
Authorized official
Marius Maxwell
Medical Director
9072226500
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