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AESTHETICA MEDICAL SPA LLC NPI 1154363752


NPI Information

NPI: 1154363752
Provider Name: AESTHETICA MEDICAL SPA LLC

Doing Business As: ALASKA DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
135 W DIMOND BLVD STE 104
ANCHORAGE, AK
ZIP 99515
Phone: (907) 562-2275
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AESTHETICA MEDICAL SPA LLC is a dermatology in Anchorage, AK. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. AESTHETICA MEDICAL SPA LLC NPI is 1154363752. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alaska Dermatology.

The provider's business location address is:

135 W DIMOND BLVD STE 104
ANCHORAGE, AK
ZIP 99515-907
Phone: (907) 562-2275
Fax: (907) 563-7929

The provider's authorized official is Kelly Millen .
The authorized official title is Owner and has the following contact phone number (907) 562-2275.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 3/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology432761ALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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