Organization
ALASKA NEURODIAGNOSTIC AND REHABILITATION MEDICINE, INC
Active
Other names
Alaska Rehabilitation Medicine, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW EDWARD MOORE (CFO/ ADMINISTRATOR)
(907) 562-2600
Entity
Organization
Contact information
Practice address
4120 LAUREL ST STE 206, ANCHORAGE, AK 99508-5392
(907) 562-2600
(907) 562-2602
Mailing address
4120 LAUREL ST STE 206, ANCHORAGE, AK 99508-5392
(907) 562-2600
(907) 562-2602
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2061
AK
208100000X
Physical Medicine & Rehabilitation Physician
AA2061
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2061
—
AK
05
—
MDG145
—
AK
Enumeration date
03/26/2007
Last updated
03/04/2019
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