Individual
COLBY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C., SUITE 207, ANCHORAGE, AK 99508-4619
(907) 561-0005
(907) 563-9140
Mailing address
PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C., SUITE 207, ANCHORAGE, AK 99508-4619
(907) 561-0005
(907) 563-9140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1001
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001
—
AK
Enumeration date
09/13/2006
Last updated
07/08/2007
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