Provider Demographics
NPI:1912013160
Name:DIALYSIS ASSOCIATES OF ALASKA, LLC
Entity Type:Organization
Organization Name:DIALYSIS ASSOCIATES OF ALASKA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-770-2301
Mailing Address - Street 1:3300 PROVIDENCE DR STE 304
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4621
Mailing Address - Country:US
Mailing Address - Phone:469-590-5955
Mailing Address - Fax:469-833-4858
Practice Address - Street 1:3300 PROVIDENCE DR STE 304
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4621
Practice Address - Country:US
Practice Address - Phone:077-702-3019
Practice Address - Fax:907-770-2341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK153012Medicare ID - Type UnspecifiedGROUP NUMBER