Organization
NEW FRONTIER ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LILES (MANAGING PARTNER)
(907) 830-1175
Entity
Organization
Contact information
Practice address
4001 LAUREL ST, SUITE A, ANCHORAGE, AK 99508-5300
(907) 563-1800
Mailing address
PO BOX 112077, ANCHORAGE, AK 99511-2077
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
935961
AK
Other
Enumeration date
02/11/2012
Last updated
02/11/2012
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