Organization
ALASKA EMERGENCY MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY V SAMUELSON MD (ADMINISTRATOR)
(907) 565-8055
Entity
Organization
Contact information
Practice address
3200 PROVIDENCE DR, ANCHORAGE, AK 99508-4661
(907) 261-3111
(907) 565-8066
Mailing address
3427 E TUDOR RD, SUITE A, ANCHORAGE, AK 99507-1282
(907) 565-8055
(907) 565-8066
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
203569
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG569
—
AK
Enumeration date
10/13/2005
Last updated
02/07/2008
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