Organization
ALASKA SPINE INSTITUTE SURGERY CENTER, LLC
Active
Other names
Alpine Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANNA CAROL GRANT RN CASC (ADMINISTRATOR)
(907) 341-5269
Entity
Organization
Contact information
Practice address
3801 LAKE OTIS PKWY STE 100, ANCHORAGE, AK 99508-5234
(907) 563-1555
(907) 563-1222
Mailing address
3801 LAKE OTIS PKWY STE 100, ANCHORAGE, AK 99508-5234
(907) 563-1555
(907) 563-1222
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
719851
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AS2249
—
AK
Enumeration date
06/17/2005
Last updated
12/08/2017
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