Organization
TAK-MING KO MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAK-MING KO M.D. (PRESIDENT)
(907) 373-8281
Entity
Organization
Contact information
Practice address
2480 S WOODWORTH LOOP STE 180, PALMER, AK 99645-7408
(907) 373-8281
(855) 212-0736
Mailing address
3719 E MERIDIAN LOOP STE E, WASILLA, AK 99654-7273
(907) 373-8281
(855) 212-0736
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6953
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1585323
—
AK
Enumeration date
08/06/2013
Last updated
12/26/2018
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