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207 E Northern Lights Blvd Ste 101, Anchorage, AK 99503 | |
(907) 222-9905 | |
(907) 222-9925 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 207 E Northern Lights Blvd Ste 101, Anchorage, Alaska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1932686771 | NPI | - | NPPES |
Provider Name | Berrie Colyar |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962975144 PECOS PAC ID: 8921332388 Enrollment ID: I20190619001475 |
Mailing Address | Practice Location Address |
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207 E Northern Lights Blvd Ste 101, Anchorage, AK 99503-2730 Ph: (907) 222-9905 | 207 E Northern Lights Blvd Ste 101, Anchorage, AK 99503 Ph: (907) 222-9905 |