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4048 Laurel St Suite 305 Anchorage AK 99508-5389 | |
| (907) 562-0001 | |
| (907) 562-0017 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4048 Laurel St, Anchorage, Alaska |
| Authorized Official Name and Position | Ramzi M Nassar (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9075620001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2440 E Tudor Rd Pmb 1145 Anchorage AK 99507-1185 Ph: (907) 746-6962 | 4048 Laurel St Suite 305 Anchorage AK 99508-5389 Ph: (907) 562-0001 |
| NPI Number | 1649403031 |
|---|---|
| Provider Enumeration Date | 09/01/2009 |
| Last Update Date | 09/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649403031 | NPI | - | NPPES |
| MD22532 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 3522 (Alaska) | Primary |
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