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Organization

ALYESKA SURGERY AND UROLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID BRENNER M.D. (PRESIDENT)
19074527522
Entity
Organization

Contact information

Practice address
1305 21ST AVE, STE 101, FAIRBANKS, AK 99701-6022
(907) 452-7522
Mailing address
1305 21ST AVE, STE 101, FAIRBANKS, AK 99701-6022
(907) 452-7522

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD4599
AK
208800000X
Urology Physician
MD4600
AK

Other

Enumeration date
01/22/2007
Last updated
09/11/2025
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