Organization
CHINOOK SURGICAL GROUP
Active
Parent organization
CHINOOK SURGICAL GROUP
Other names
Alaska Bariatric Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHINOOK SURGICAL GROUP
Authorized official
DR. MICHAEL A TODD MD FACS (PRESIDENT)
(907) 929-4263
Entity
Organization
Contact information
Practice address
4100 LAKE OTIS PKWY STE 302, ANCHORAGE, AK 99508-5230
(907) 929-4263
(907) 929-4267
Mailing address
PO BOX 143595, ANCHORAGE, AK 99514-3595
(907) 929-4263
(907) 929-4267
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
278885
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2836
—
AK
05
—
MDG130
—
AK
Enumeration date
08/08/2007
Last updated
12/15/2020
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