Organization
AA PAIN CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON CHANDLER MD (PRESIDENT)
(907) 563-2873
Entity
Organization
Contact information
Practice address
4100 LAKE OTIS PKWY, SUITE 216, ANCHORAGE, AK 99508-5222
(907) 563-2873
(907) 563-5852
Mailing address
PO BOX 202113, ANCHORAGE, AK 99520-2113
(907) 929-8704
(907) 929-8744
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG444
—
AK
Enumeration date
08/29/2005
Last updated
08/22/2020
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