Organization
ALASKA SPINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON H CHANDLER M.D. (OWNER)
(907) 644-5500
Entity
Organization
Contact information
Practice address
4100 LAKE OTIS PKWY, SUITE 212, ANCHORAGE, AK 99508-5230
(907) 644-5500
(907) 644-5555
Mailing address
4100 LAKE OTIS PKWY, SUITE 212, ANCHORAGE, AK 99508-5230
(907) 644-5500
(907) 644-5555
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
417904
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AS5856
—
AK
Enumeration date
06/17/2005
Last updated
01/15/2008
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