Individual
DR. BENJAMIN GRANT EKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2925 DEBARR ROAD ST 240, ANCHORAGE, AK 99508-2959
(907) 339-4650
(907) 339-4694
Mailing address
2925 DEBARR ROAD ST 240, ANCHORAGE, AK 99508-2959
(907) 339-4650
(907) 339-4694
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
128515
AK
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
128515
AK
207LP3000X
Pediatric Anesthesiology Physician
128515
AK
Other
Enumeration date
03/31/2012
Last updated
08/28/2020
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