Organization
NEUROVERSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE LIU MD (OWNER)
(818) 523-5372
Entity
Organization
Contact information
Practice address
2925 DEBARR RD, SUITE 240, ANCHORAGE, AK 99508-2959
(907) 339-4650
Mailing address
2925 DEBARR RD, SUITE 240, ANCHORAGE, AK 99508-2959
(818) 523-5372
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MEDS6555
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1654351
—
AK
Enumeration date
09/21/2016
Last updated
12/19/2016
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