Organization
ALASKA BONE & JOINT INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY KAVANAUGH MD (PRESIDENT)
(907) 334-6788
Entity
Organization
Contact information
Practice address
2751 DEBARR RD, SUITE B285, ANCHORAGE, AK 99508-2953
(907) 334-6788
(907) 334-6466
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
(907) 563-1777
(907) 561-7464
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
309662
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607725300
FEDERAL WORK COMP/OWCP
AK
Enumeration date
08/12/2005
Last updated
10/15/2008
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