Provider Demographics
NPI:1194181586
Name:ALASKA SURGICAL ARTS PC
Entity Type:Organization
Organization Name:ALASKA SURGICAL ARTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KONTNY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:509-998-7788
Mailing Address - Street 1:PO BOX 140326
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99514-0326
Mailing Address - Country:US
Mailing Address - Phone:509-998-7788
Mailing Address - Fax:
Practice Address - Street 1:2741 DEBARR RD
Practice Address - Street 2:SUITE C-415
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2961
Practice Address - Country:US
Practice Address - Phone:509-998-7788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty