| Bsd- Fasd Clinic | |
|
4341 Tudor Centre Dr Anchorage AK 99508-5904 | |
| (907) 729-2500 | |
| Not Available |
| Full Name | Bsd- Fasd Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4341 Tudor Centre Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bsd- Fasd Clinic Po Box 35198 Seattle WA 98124-5198 Ph: () - | Bsd- Fasd Clinic 4341 Tudor Centre Dr Anchorage AK 99508-5904 Ph: (907) 729-2500 |
| NPI Number | 1255517975 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255517975 | NPI | - | NPPES |
| 1000808 | Medicaid | AK |
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