Organization
KODIAK BOARD CERTIFIED RADIOLOGY, LLC
Active
Organization
KODIAK BOARD CERTIFIED RADIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY E. BIAS (EXECUTIVE DIRECTOR)
(907) 565-8005
Entity
Organization
Contact information
Practice address
1915 E REZANOF DR, KODIAK, AK 99615-6602
(907) 486-9581
(907) 486-9523
Mailing address
3427 E TUDOR RD STE A, ANCHORAGE, AK 99507-1282
(907) 563-3679
(907) 563-9070
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6152
AK
Other
Enumeration date
02/15/2011
Last updated
03/08/2011
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