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2841 Debarr Rd Suite 43 Anchorage AK 99508-2932 | |
(907) 274-7844 | |
(907) 274-7845 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2841 Debarr Rd, Anchorage, Alaska |
Authorized Official Name and Position | Jason William Ray Bridges (OFFICE MANAGER) |
Authorized Official Contact | 9072747844 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2841 Debarr Rd Suite 43 Anchorage AK 99508-2932 Ph: (907) 274-7844 | 2841 Debarr Rd Suite 43 Anchorage AK 99508-2932 Ph: (907) 274-7844 |
NPI Number | 1659521888 |
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Provider Enumeration Date | 09/24/2008 |
Last Update Date | 10/07/2008 |
Medicare PECOS PAC ID | 3971661794 |
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Medicare Enrollment ID | O20081023000371 |
Identifier | Type | State | Issuer |
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1659521888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 5561 (Alaska) | Primary |
Provider Name | Jerry R Tanner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962580480 PECOS PAC ID: 8224020045 Enrollment ID: I20081023000349 |
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