Organization
J. ROSS TANNER, D.O. LLC
Active
Other names
Diabetes and Lipid Clinic of Alaska
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON WILLIAM RAY BRIDGES (OFFICE MANAGER)
(907) 274-7844
Entity
Organization
Contact information
Practice address
2841 DEBARR RD, SUITE 43, ANCHORAGE, AK 99508-2932
(907) 274-7844
(907) 274-7845
Mailing address
2841 DEBARR RD, SUITE 43, ANCHORAGE, AK 99508-2932
(907) 274-7844
(907) 274-7845
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5561
AK
Other
Enumeration date
09/24/2008
Last updated
10/07/2008
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