Organization
ANCHORAGE DERMATOLOGY & COSMETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY WEATHERSBY BAGAYOKO M.D. (AUTHORIZED OFFICIAL)
(626) 353-3885
Entity
Organization
Contact information
Practice address
615 E 82ND AVE STE 204, ANCHORAGE, AK 99518-3159
(907) 865-8455
(907) 865-8464
Mailing address
615 E 82ND AVE STE 204, ANCHORAGE, AK 99518-3159
(907) 865-8455
(913) 246-4901
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
01/03/2022
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