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Organization

ALASKA CARDIOVASCULAR ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN M COUGHLIN M.D. (MANAGER)
(907) 263-2200
Entity
Organization

Contact information

Practice address
3340 PROVIDENCE DR, #466, ANCHORAGE, AK 99508-4616
(907) 263-2200
(907) 276-0366
Mailing address
3340 PROVIDENCE DR, #466, ANCHORAGE, AK 99508-4616
(907) 263-2200
(907) 276-0366

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
3693
AK
207UN0901X
Nuclear Cardiology Physician
3693
AK

Other

Enumeration date
07/31/2006
Last updated
06/04/2008
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