# ORTHOALASKA, LLC

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

## Provider details

- **NPI number:** 1871529990
- **Authorized official:** EUGENE M CHANG M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (907) 562-2277

## Contact information

- **Practice address:** 3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
- **Practice address phone:** (907) 562-2277
- **Practice address fax:** (907) 563-3460
- **Mailing address:** 3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508-5234
- **Mailing address phone:** (907) 562-2277
- **Mailing address fax:** (907) 563-3460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 272455 | AK | — |
| 207X00000X | Orthopaedic Surgery Physician | 272455 | AK | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 05/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1020561 | — | AK |