Organization
ALASKA INTERIOR SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICK MARTELL MD (MEDICAL DIRECTOR)
(305) 761-1934
Entity
Organization
Contact information
Practice address
2485 CHIEF WILLIAM DR # 100, FAIRBANKS, AK 99709-4873
(305) 761-1934
Mailing address
3875 GEIST RD # 502, FAIRBANKS, AK 99709-3564
(305) 761-1934
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720992
—
AK
Enumeration date
01/31/2023
Last updated
01/31/2023
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