Organization
CHUGACH SPORTS FOOT AND ANKLE, LLC
Active
Other names
Chugach Sports Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
JARED KERN DPM (MANAGER)
(907) 931-1726
Entity
Organization
Contact information
Practice address
1917 ABBOTT RD STE 100, ANCHORAGE, AK 99507-3449
(907) 931-1726
(907) 931-9946
Mailing address
1120 HUFFMAN RD STE 24-550, ANCHORAGE, AK 99515-3516
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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