Evergreen Anesthesia LLC

NPI #1982143640 in Anchorage, Alaska

Provider Information

NPI Number: 1982143640
Entity Type: Organization
Organization Name: Evergreen Anesthesia LLC
Primary Specialty: Anesthesiology
Enumeration Date: Feb 14, 2017
Last Updated: Feb 14, 2017

Practice Location

Address: 1335 GAMBELL ST
City: Anchorage
State: Alaska
ZIP Code: 99501-4629
Phone: (907) 222-6500

Authorized Official

Name: MARIUS MAXWELL
Title: MEDICAL DIRECTOR
Phone: (907) 222-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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