Organization
ANCHORAGE BARIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CLARK MD (PHYSICIAN)
(907) 644-8446
Entity
Organization
Contact information
Practice address
3909 ARCTIC BLVD, SUITE 101, ANCHORAGE, AK 99503-5770
(907) 644-8446
(907) 644-8448
Mailing address
PO BOX 75039, CHICAGO, IL 60675-5039
(866) 776-8150
(314) 621-7276
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1033013
AK
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/29/2016
Last updated
11/05/2024
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