Organization
ANCHORAGE ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL LEE GONZALES BS (PRACTICE MANAGER)
(907) 222-9129
Entity
Organization
Contact information
Practice address
2841 DEBARR RD STE 51, ANCHORAGE, AK 99508-2932
(907) 222-3636
(907) 222-5031
Mailing address
2841 DEBARR RD STE 51, ANCHORAGE, AK 99508-2958
(907) 222-9129
(907) 279-7346
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
02-C0001005
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AS6329
—
AK
Enumeration date
04/04/2007
Last updated
10/01/2015
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