Organization
EXEXIAS METRITA - ANCHORAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SUTHERLAND COLE (CFO)
(817) 296-4560
Entity
Organization
Contact information
Practice address
3074 MOUNTAIN VIEW DR STE 193, ANCHORAGE, AK 99501-3144
(817) 296-4560
(817) 796-1678
Mailing address
920 S KIMBALL AVE STE 100, SOUTHLAKE, TX 76092-9019
(817) 296-4560
(817) 796-1678
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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