Organization
RENOVA PAIN AND RECOVERY CLINICS, LLC
Active
Other names
NA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DOUGLAS ZIPPERER JR. MD (MEMBER/MANAGER)
(907) 707-9206
Entity
Organization
Contact information
Practice address
2110 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4154
(907) 707-9206
Mailing address
2110 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4154
(907) 707-9206
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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