SRA D.O. LLC NPI 1164166088

NPI Information

NPI: 1164166088
Provider Name: SRA D.O. LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
2960 QIN CT
ANCHORAGE, AK
ZIP 99507
Phone: (907) 529-0103
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SRA D.O. LLC is a child and adolescent psychiatry psychiatry neurology in Anchorage, AK. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. SRA D.O. LLC NPI is 1164166088. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2960 QIN CT
ANCHORAGE, AK
ZIP 99507-004
Phone: (907) 529-0103

The provider's authorized official is Spencer Augustin .
The authorized official title is President and has the following contact phone number (907) 529-0103.

The enumeration date for this NPI number is 4/26/2022 and was last updated on 5/4/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry			Yes

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

NPI Synchronization or Removal

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