Organization
ALASKA CARDIOTHORACIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E BEATY (BILLING AGENT)
(907) 770-2380
Entity
Organization
Contact information
Practice address
2741 DEBARR RD, SUITE C-416, ANCHORAGE, AK 99508-2961
(907) 258-4430
(907) 258-4435
Mailing address
PO BOX 84564, SEATTLE, WA 98124-5864
(907) 770-2380
(907) 770-2341
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
1018733
AK
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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