Organization
INNOVATIVE NEUROSURGERY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PAUL PAULSON MD (OWNER/PRESIDENT)
(907) 243-0339
Entity
Organization
Contact information
Practice address
2751 DEBARR RD STE B285, ANCHORAGE, AK 99508-6817
(907) 243-0339
(907) 243-0337
Mailing address
2751 DEBARR RD STE B285, ANCHORAGE, AK 99508-6817
(907) 243-0339
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1670001
—
AK
Enumeration date
04/06/2022
Last updated
04/06/2022
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