Organization
ALASKA EYE SURGERY AND LASER CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC W. COULTER M.D. (PRESIDENT)
(907) 569-1551
Entity
Organization
Contact information
Practice address
235 E 8TH AVE STE 3A, ANCHORAGE, AK 99501-3662
(907) 569-1551
(907) 569-1564
Mailing address
235 E 8TH AVE STE 3A, ANCHORAGE, AK 99501-3662
(907) 569-1551
(907) 569-1564
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4540
AK
261QS0132X
Ophthalmologic Surgery Clinic/Center
4540
AK
Other
Enumeration date
01/24/2011
Last updated
10/26/2012
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