Organization
REHABILITATION MEDICINE ASSOCIATES
Active
Organization
REHABILITATION MEDICINE ASSOCIATES
Active
Parent organization
REHABILITATION MEDICINE ASSOCIATES
Other names
Alaska Spine Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
REHABILITATION MEDICINE ASSOCIATES
Authorized official
LESA JOHNSON (ADMINISTRATOR)
(907) 762-6340
Entity
Organization
Contact information
Practice address
3801 UNIVERSITY LAKE DR, ANCHORAGE, AK 99508-4639
(907) 762-6337
(907) 762-6305
Mailing address
PO BOX 196400, ANCHORAGE, AK 99519-6400
(907) 762-6337
(907) 762-6350
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
203591
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG679
—
AK
Enumeration date
06/17/2005
Last updated
09/14/2010
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