Organization
ALASKA SURGICAL ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PORTERA MD (MD/OWNER)
(907) 868-2075
Entity
Organization
Contact information
Practice address
1917 ABBOTT RD, SUITE 100, ANCHORAGE, AK 99507-3449
(907) 868-2075
Mailing address
PO BOX 2509, KENAI, AK 99611-2509
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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