Organization
PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BROOKS CHE (CHIEF HEALTH EXECUTIVE)
(907) 561-0005
Entity
Organization
Contact information
Practice address
3300 PROVIDENCE DR, SUITE 207, ANCHORAGE, AK 99508-4616
(907) 561-0005
(907) 563-9140
Mailing address
3300 PROVIDENCE DR, SUITE 207, ANCHORAGE, AK 99508-4616
(907) 561-0005
(907) 563-9140
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG394
—
AK
05
—
MDG395
—
AK
Enumeration date
09/27/2005
Last updated
08/22/2020
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