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188 W Northern Lights Blvd Suite 800 Anchorage AK 99503 | |
| (907) 276-2806 | |
| (907) 276-2815 |
| Full Name | |
|---|---|
| Speciality | Urology |
| Location | 188 W Northern Lights Blvd, Anchorage, Alaska |
| Authorized Official Name and Position | William R Clark (PRESIDENT) |
| Authorized Official Contact | 9072762844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
188 W Northern Lights Blvd Suite 800 Anchorage AK 99503 Ph: (907) 276-2806 | 188 W Northern Lights Blvd Suite 800 Anchorage AK 99503 Ph: (907) 276-2806 |
| NPI Number | 1689716185 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 06/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689716185 | NPI | - | NPPES |
| GR0193 | Medicaid | AK |
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