Organization
KENAI PENINSULA ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A GLEASON D.O. (OWNER / PHYSICIAN)
(907) 714-4483
Entity
Organization
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4483
(907) 714-4686
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2301
(907) 770-2341
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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