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Contact Information

DENALI SURGICAL SPECIALISTS, LLC
1626 30TH AVE
SUITE 201
FAIRBANKS, AK99701
 Phone: 907-456-3100
 Fax: 907-456-3141
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DENALI SURGICAL SPECIALISTS, LLC

NPI # 1356514574
LBN Legal business name DENALI SURGICAL SPECIALISTS, LLC
Authorized official JON LIEBERMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2008
Last updated 05/09/2014 - About 12 years ago
Identifiers
AK License # 2658
AK Medicaid 1020522
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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