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Organization

ALASKA NEONATOLOGY ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANETTE SANDERS (ASSISTANT SECRETARY)
(800) 243-3839
Entity
Organization

Contact information

Practice address
770 THE CITY DR S, SUITE 4000, ORANGE, CA 92868-4900
(800) 243-3839
(954) 851-1948
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
(954) 851-1948

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
363LN0000X
Neonatal Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0162
AK
Enumeration date
09/13/2006
Last updated
10/18/2024
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