Provider Demographics
NPI:1437407277
Name:ALYESKA VASCULAR SURGERY LLC
Entity Type:Organization
Organization Name:ALYESKA VASCULAR SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:907-562-8346
Mailing Address - Street 1:4001 LAUREL ST STE 204
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5300
Mailing Address - Country:US
Mailing Address - Phone:907-562-8346
Mailing Address - Fax:907-562-8347
Practice Address - Street 1:4001 LAUREL ST
Practice Address - Street 2:STE 204
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-562-8346
Practice Address - Fax:907-562-8347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK6566208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty