Organization
EVERGREEN ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIUS MAXWELL (MEDICAL DIRECTOR)
(907) 222-6500
Entity
Organization
Contact information
Practice address
1335 GAMBELL ST, ANCHORAGE, AK 99501-4629
(907) 222-6500
Mailing address
1335 GAMBELL ST, ANCHORAGE, AK 99501-4629
(907) 222-6500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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