Organization
ARCTIC AURORA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH A BAKER MD (OWNER / PHYSICIAN)
(907) 351-4232
Entity
Organization
Contact information
Practice address
701 E TUDOR RD STE 140, ANCHORAGE, AK 99503-7459
(907) 646-1009
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2380
(907) 770-2341
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD18631
—
AK
Enumeration date
07/01/2020
Last updated
07/01/2020
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