Organization
ANESTHESIA CARE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES STUART LEE M.D. (PRESIDENT)
(800) 516-5315
Entity
Organization
Contact information
Practice address
2500 S WOODWORTH LOOP, PALMER, AK 99645-8984
(907) 745-0374
(907) 745-0200
Mailing address
PO BOX 853, PALMER, AK 99645-0853
(800) 516-5315
(907) 745-0200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020257499
GROUP DEPT OF LABOR#
AK
01
—
050067816
KOEHRER RAILROAD MCR#
AK
01
—
050067817
LEE RAILROAD MCR#
AK
01
—
193975000
GROUP FEDERAL DOL#
AK
01
—
CI9459
GROUP RAILROAD MCR#
AK
05
—
MD01001
—
AK
05
—
MD02651
—
AK
05
—
MD0271
—
AK
05
—
MD0638
—
AK
05
—
MD1730
—
AK
05
—
MDG417
—
AK
Enumeration date
05/12/2006
Last updated
12/06/2019
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