Provider Demographics
NPI:1174716104
Name:ALASKA WOMEN'S ADVANCED PELVIC SURGERY & UROGYNECOLOGY LLC
Entity type:Organization
Organization Name:ALASKA WOMEN'S ADVANCED PELVIC SURGERY & UROGYNECOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:CORY
Authorized Official - Last Name:BIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-306-1222
Mailing Address - Street 1:2751 DEBARR RD STE B340
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-6806
Mailing Address - Country:US
Mailing Address - Phone:907-743-8064
Mailing Address - Fax:907-743-8065
Practice Address - Street 1:2751 DEBARR RD
Practice Address - Street 2:SUITE 340
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2953
Practice Address - Country:US
Practice Address - Phone:907-306-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty