Anchorage Osteopathic Medical Clinic
Organization Active NPI Family Medicine Physician · Anchorage, AK
NPI 1720155856 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1720155856
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2781 (AK)
- Legal business name
- ANCHORAGE OSTEOPATHIC MEDICAL CLINIC
- Practice address
- 300 E Dimond Blvd
#12
Anchorage, AK 99515-1908 - Phone
- (907) 341-7727
- Fax
- (907) 341-7760
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Maury Allen Oswald, DO
- Title
- Owner
- Phone
- (907) 341-7727
National Provider Directory
Locations
300 E Dimond Blvd
Ste 12A
Anchorage, AK 99515
Phone (907) 341-7757
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 2781 | AK | Yes |
Addresses
Primary practice location
300 E Dimond Blvd
#12
Anchorage, AK 99515-1908
Mailing address
300 E Dimond Blvd
#12
Anchorage, AK 99515-1908
Phone (907) 341-7727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2781 | Medicaid | AK |
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- Anchorage Neurosurgical Associates Inc
- Anchorage Oncology Centre,LLC
- Anchorage Pain Solutions PC
- Anchorage Pathology Group
- Anchorage Pediatric Dentistry, Inc
- Anchorage Pediatric Group
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All providers in Anchorage, AK · Family Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.