Provider Demographics
NPI:1912640319
Name:DENALI HEALTHCARE SPECIALISTS LLC
Entity Type:Organization
Organization Name:DENALI HEALTHCARE SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZIWOT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:314-302-9307
Mailing Address - Street 1:2421 E TUDOR RD STE 103
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1166
Mailing Address - Country:US
Mailing Address - Phone:907-677-8889
Mailing Address - Fax:907-677-8886
Practice Address - Street 1:2421 E TUDOR RD STE 102
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-1166
Practice Address - Country:US
Practice Address - Phone:907-677-8889
Practice Address - Fax:907-677-8886
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENALI HEALTHCARE SPECIALISTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic