Provider Demographics
NPI:1184634255
Name:MAURER, SARA A (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:A
Last Name:MAURER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 PROVIDENCE DR STE 207
Mailing Address - Street 2:PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4619
Mailing Address - Country:US
Mailing Address - Phone:907-561-0005
Mailing Address - Fax:907-563-9140
Practice Address - Street 1:3300 PROVIDENCE DR STE 207
Practice Address - Street 2:PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4619
Practice Address - Country:US
Practice Address - Phone:907-561-0005
Practice Address - Fax:907-563-9140
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK3715207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK4541Medicaid
G26416Medicare UPIN
AK4541Medicaid