Organization
ALASKA SURGICAL GROUP, LLC
Active
Organization
ALASKA SURGICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A PORTERA JR. MD (SOLE MEMBER)
(907) 868-2075
Entity
Organization
Contact information
Practice address
3851 PIPER ST STE U230, ANCHORAGE, AK 99508-6901
(907) 868-2075
(907) 312-5882
Mailing address
3851 PIPER ST STE U230, ANCHORAGE, AK 99508-6901
(907) 868-2075
(907) 312-5882
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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