ALASKA EMERGENCY MEDICINE ASSOCIATES
Osteopathic Medicine at Providence Dr, Anchorage, AK

License number
Alaska 203569
Category
Osteopathic Medicine
Type
Emergency Medicine
Owner
Name: TIMOTHY V SAMUELSON MD
Title: ADMINISTRATOR
Phone: (907) 565-8055
Address
Address
3200 Providence Dr, Anchorage, AK 99508
National Provider ID: 1568450476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALASKA EMERGENCY MEDICINE ASSOCIATES LLC

Anchorage, AK

Registration:
Dec 28, 1999
Addresses:
Pmb 967 2440 E Tudor Rd, Anchorage, AK 99507 (Mailing)
3811 Chiniak Bay Dr, Anchorage, AK 99515 (Physical)
State ID:
68778D
Business type:
Limited Liability Company
Expiration:
Perpetual
Members:
Anson Cheng (Member),Matthew Madden (Member),Timothy Sibaugh (Member),...
Agent:
Timothy Silgaugh,Pmb 967 2440 E Tudor Rd, Anchorage, AK 99507 (Mailing)
6221 Farpoint Dr, Anchorage, AK 99507 (Physical)
Next Report:
20170102

Alaska Emergency Medicine Associates LLC

2440 E Tudor Rd Pmb 967, Anchorage, AK 99507

Registration:
Dec 28, 1999
Phone:
(907) 565-8055 (Phone)
Judy Barton
Categories:
Health & Medical - General

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