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Organization
ORTHOALASKA, LLC
Active
Organization
ORTHOALASKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE M CHANG M.D. (PHYSICIAN/OWNER)
(907) 562-2277
Entity
Organization
Contact information
Practice address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Mailing address
3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
(907) 562-2277
(907) 563-3460
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
272455
AK
207X00000X
Orthopaedic Surgery Physician
Primary
272455
AK
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020561
—
AK
Enumeration date
06/23/2006
Last updated
05/19/2016
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