Organization
JUNEAU BONE & JOINT CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA BINGHAM (DIRECTOR)
(907) 723-5744
Entity
Organization
Contact information
Practice address
3220 HOSPITAL DR, JUNEAU, AK 99801-7808
(907) 364-2663
Mailing address
3220 HOSPITAL DR, JUNEAU, AK 99801-7808
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
3748
AK
207X00000X
Orthopaedic Surgery Physician
5018
AK
207X00000X
Orthopaedic Surgery Physician
Primary
5104
AK
207X00000X
Orthopaedic Surgery Physician
5470
AK
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007759
—
AK
05
—
1008605
—
AK
05
—
1014228
—
AK
05
—
1015464
—
AK
05
—
1020677
—
AK
05
—
1584679
—
AK
05
—
1651401
—
AK
Enumeration date
03/13/2007
Last updated
08/14/2020
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