Organization
ANCHORAGE PHYSICAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY REBARCAK (OWNER)
(480) 823-1000
Entity
Organization
Contact information
Practice address
500 E BENSON BLVD STE 103, ANCHORAGE, AK 99503-4148
(480) 823-1000
Mailing address
8226 SHADOW CREEK LN, YORKVILLE, IL 60560-8909
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
11/04/2020
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