Organization
ALASKA UROLOGICAL INSTITUTE PC
Active
Organization
ALASKA UROLOGICAL INSTITUTE PC
Active
Other names
Alaska Medical Specialties, Alaska Urological Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R CLARK MD (PRESIDENT)
(907) 276-2844
Entity
Organization
Contact information
Practice address
188 W NORTHERN LIGHTS BLVD, SUITE 800, ANCHORAGE, AK 99503
(907) 276-2806
(907) 276-2815
Mailing address
188 W NORTHERN LIGHTS BLVD, SUITE 800, ANCHORAGE, AK 99503
(907) 276-2806
(907) 276-2815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
AK
207RH0003X
Hematology & Oncology Physician
—
AK
207RP1001X
Pulmonary Disease Physician
—
—
2085R0001X
Radiation Oncology Physician
—
AK
208800000X
Urology Physician
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0193
—
AK
Enumeration date
02/12/2007
Last updated
06/12/2019
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