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Contact Information

MGM ENTERPRISES LLC
1220 F ST
ANCHORAGE, AK99501-4347
 Phone: 907-802-3696
 Fax: 907-531-1303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MGM ENTERPRISES LLC · (Female)

NPI Number 1033910195
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2025
Last updated 03/24/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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