Organization
ZIA MEDICAL ALASKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DIANE FRAISER COF (OWNER)
(907) 302-7367
Entity
Organization
Contact information
Practice address
3500 LATOUCHE ST STE 380, ANCHORAGE, AK 99508-4261
(907) 302-7367
Mailing address
3500 LATOUCHE ST STE 380, ANCHORAGE, AK 99508-4261
(907) 302-7367
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/25/2021
Last updated
05/03/2022
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