Bongo Medical

LBN: Alaska Kidney & Diabetes Association
Bongo Medical is an health care organization with primary practice located at 3260 Providence Dr #523, Anchorage AK 99508-4608. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty. Alaska Kidney & Diabetes Association can be contacted via phone (907) 569-1049, or through Glasgow, Leslie A. via phone (907) 569-1049.

Contact Information

Primary practice address
3260 Providence Dr #523 Anchorage AK 99508-4608
Phone: (907) 569-1049
Fax: (907) 563-4564
Website:
Map and Directions
Authorized official contact:
Name: Glasgow, Leslie A. Doctor of Medicine (MD)
Phone: (907) 569-1049

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1619935558
LBN Legal business name Alaska Kidney & Diabetes Association
DBA Doing business as Bongo Medical
Authorized official Glasgow, Leslie A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Jan 3rd, 2013 - about 11 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.

Request for update

Popular Providers