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DENALI OB-GYN ASSOC NPI 1477623452


NPI Information

NPI: 1477623452
Provider Name: DENALI OB-GYN ASSOC

Doing Business As: DENALI OB GYN CLINIC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 02D1020557

Address:
3976 UNIVERSITY LAKE DR STE 300
ANCHORAGE, AK
ZIP 99508
Phone: (907) 222-9930
Get Directions

DENALI OB-GYN ASSOC is an obstetrics gynecology in Anchorage, AK. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DENALI OB-GYN ASSOC NPI is 1477623452. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Denali Ob Gyn Clinic.

The provider's business location address is:

3976 UNIVERSITY LAKE DR STE 300
ANCHORAGE, AK
ZIP 99508-644
Phone: (907) 222-9930
Fax: (907) 222-9931

The provider's authorized official is Peter Adams .
The authorized official title is President and has the following contact phone number (907) 222-9930.

The CLIA number assigned to this NPI record is 02D1020557 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/7/2018.


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
1207V00000XObstetrics & Gynecology297283ALASKAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11020629MEDICAIDALASKA
2297283OTHERALASKALICENSE

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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