Organization
ALASKA NEPHROLOGISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E BEATY (BILLING AGENT)
(907) 770-2380
Entity
Organization
Contact information
Practice address
3300 PROVIDENCE DR, SUITE 304, ANCHORAGE, AK 99508-4690
(907) 212-4840
(907) 212-4820
Mailing address
PO BOX 4049, PORTLAND, OR 97208-4049
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
992752
AK
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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