Individual
JANN LEE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 LAUREL ST, SUITE 202, ANCHORAGE, AK 99508-5300
(907) 277-7246
Mailing address
4001 LAUREL ST, SUITE 202, ANCHORAGE, AK 99508-5300
(907) 277-7246
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.098349
IL
207L00000X
Anesthesiology Physician
Primary
5298
AK
207LP2900X
Pain Medicine (Anesthesiology) Physician
5298
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217350
WA DEPT OF LABOR
WA
01
—
8428484
WA MEDICAID
WA
05
—
MD5298
—
AK
01
—
P00416036
MEDICARE RAILROAD
AK
Enumeration date
10/17/2005
Last updated
02/27/2019
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