Organization
ALASKA KIDNEY & DIABETES ASSOCIATION
Active
Other names
Bongo Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE A. GLASGOW MD (CEO)
(907) 569-1049
Entity
Organization
Contact information
Practice address
3260 PROVIDENCE DR, #523, ANCHORAGE, AK 99508-4608
(907) 569-1049
(907) 563-4564
Mailing address
3260 PROVIDENCE DR, #523, ANCHORAGE, AK 99508-4608
(907) 569-1049
(907) 563-4564
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
05/02/2006
Last updated
01/03/2013
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