ALASKA FAMILY DERMATOLOGY LLC NPI 1265096010

NPI Information

ALASKA FAMILY DERMATOLOGY, LLC is a pediatric dermatology dermatology in Anchorage, AK. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. ALASKA FAMILY DERMATOLOGY, LLC NPI is 1265096010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3340 PROVIDENCE DR STE A358
ANCHORAGE, AK
ZIP 99508-691
Phone: (907) 268-2067
Fax: (855) 395-0858

The provider's authorized official is Gina Marie Brown .
The authorized official title is Owner/dermatologist and has the following contact phone number (907) 268-2067.

The CLIA number assigned to this NPI record is 02D2167469 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/26/2019 and was last updated on 4/26/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.