Alaska Family Dermatology, Llc

LBN: Alaska Family Dermatology, Llc
Alaska Family Dermatology, Llc is an health care organization with primary practice located at 3340 Providence Dr Ste A358 , Anchorage AK 99508-4691. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Dermatology, which is considered as the primary health care specialty. Alaska Family Dermatology, Llc can be contacted via phone (907) 268-2067, or through Brown, Gina Marie via phone (907) 268-2067.

Contact Information

Primary practice address
3340 Providence Dr Ste A358 Anchorage AK 99508-4691
Phone: (907) 268-2067
Fax: (855) 395-0858
Website:
Map and Directions
Authorized official contact:
Name: Brown, Gina Marie Doctor of Medicine (MD)
Phone: (907) 268-2067

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X

Profile Details

NPI number 1265096010
LBN Legal business name Alaska Family Dermatology, Llc
DBA Doing business as
Authorized official Brown, Gina Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2019
Last updated Apr 26th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265096010 NPPES
Alaska MEDICAID 1583538

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