Organization
STEVEN MENAKER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE FULLER (OFFICE MANAGER)
(907) 561-1255
Entity
Organization
Contact information
Practice address
2400 E 42ND AVE, ANCHORAGE, AK 99508-5206
(907) 561-1255
(907) 561-4828
Mailing address
2400 E 42ND AVE, ANCHORAGE, AK 99508-5206
(907) 561-1255
(907) 561-4828
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1397
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1397
—
AK
Enumeration date
11/30/2009
Last updated
11/30/2009
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