Organization Name: | ELIZABETH DESCHWEINITZ MD APC |
NPI Number: | 1548385321 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH E BEATY (BILLING AGENT) |
Mailing Address: | 4001 Dale St Suite 216 Anchorage |
State: | AK US |
Postal Code: | 995085428 |
Phone Number: | 9075693600 |
Fax Number: | 9075693200 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 08/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |