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Organization

GRANT SEARLES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH E BEATY (BILLING AGENT)
(907) 770-2301
Entity
Organization

Contact information

Practice address
2841 DEBARR RD, SUITE 46, ANCHORAGE, AK 99508-2932
(907) 277-1197
(907) 277-1136
Mailing address
1120 E HUFFMAN #587, ANCHORAGE, AK 99515-3516
(907) 277-1197
(907) 277-1136

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
08/20/2007
Last updated
10/11/2007
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