Organization
DENALI CARDIAC AND THORACIC SURGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENTON EDGAR STEPHENS JR. MD (PHYSICIAN / OWNER)
(907) 375-2000
Entity
Organization
Contact information
Practice address
2751 DEBARR RD STE B320, ANCHORAGE, AK 99508-6805
(907) 375-2000
(907) 375-5558
Mailing address
PO BOX 3482, POST FALLS, ID 83877-3482
(208) 209-6170
(208) 209-6169
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K152964
MEDICARE ID
AK
Enumeration date
07/15/2006
Last updated
09/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us