Organization
AER MEDICAL LLC
Active
Organization
AER MEDICAL LLC
Active
Other names
Borealis Heart Specialists, AER Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE PETTERSON (BILLING MANAGER)
(907) 313-8411
Entity
Organization
Contact information
Practice address
1200 AIRPORT HEIGHTS DR STE 200, ANCHORAGE, AK 99508-2969
(907) 262-4278
(907) 802-4530
Mailing address
PO BOX 3627, SOLDOTNA, AK 99669-3627
(907) 262-4278
(907) 802-4530
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1112393
STATE BUSINESS LICENSE
AK
Enumeration date
02/22/2019
Last updated
03/28/2024
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