ALASKA SKIN SURGERY AND AESTHETICS LLC NPI 1952143562

NPI Information

  • NPI: 1952143562
  • Provider Name: ALASKA SKIN SURGERY AND AESTHETICS LLC
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Organization
  • Address: 615 E 82ND AVE STE 302
    ANCHORAGE, AK
    ZIP 99518
  • Phone: (706) 218-1724

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NPI Details

ALASKA SKIN SURGERY AND AESTHETICS LLC is a mohs-micrographic surgery dermatology in Anchorage, AK. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. ALASKA SKIN SURGERY AND AESTHETICS LLC NPI is 1952143562. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

615 E 82ND AVE STE 302
ANCHORAGE, AK
ZIP 99518-159
Phone: (706) 218-1724

The provider's authorized official is Rechelle Tull .
The authorized official title is Owner and has the following contact phone number (706) 218-1724.

The enumeration date for this NPI number is 6/12/2024 and was last updated on 9/24/2024.

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
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryYes
3207NS0135XDermatologyProcedural DermatologyNo

What is NPI?

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This page was last updated on: 3/30/2025

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