Organization
NORTHERN NEUROLOGY CONSULTANTS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYESH MAKIM MD (PRESIDENT)
(907) 561-1565
Entity
Organization
Contact information
Practice address
3650 LAKE OTIS PKWY, SUITE 205, ANCHORAGE, AK 99508-5207
(907) 563-1565
(907) 561-1541
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
(907) 563-1777
(907) 561-7464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
433242
AK
Other
Enumeration date
08/12/2005
Last updated
08/22/2020
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