Organization
SOUTHEAST FOOT & ANKLE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANH T LAM DPM (OWNER PODIATRIST)
(907) 789-5518
Entity
Organization
Contact information
Practice address
7691 GLACIER HWY, JUNEAU, AK 99801
(907) 789-5518
(907) 523-6991
Mailing address
7691 GLACIER HWY, JUNEAU, AK 99801
(907) 789-5518
(907) 523-6991
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
4705
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD18491
—
AK
Enumeration date
10/06/2006
Last updated
11/19/2012
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