# ANCHORAGE ENDOSCOPY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770605214
- **Authorized official:** MRS. CHERYL LEE GONZALES BS (PRACTICE MANAGER)
- **Authorized official phone:** (907) 222-9129

## Contact information

- **Practice address:** 2841 DEBARR RD STE 51, ANCHORAGE, AK 99508-2932
- **Practice address phone:** (907) 222-3636
- **Practice address fax:** (907) 222-5031
- **Mailing address:** 2841 DEBARR RD STE 51, ANCHORAGE, AK 99508-2958
- **Mailing address phone:** (907) 222-9129
- **Mailing address fax:** (907) 279-7346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 02-C0001005 | AK | Yes |

## Other

- **Enumeration date:** 04/04/2007
- **Last updated:** 10/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | AS6329 | — | AK |