NPI 1033910195

Mgm Enterprises LLC

Organisation Pain Medicine (Anesthesiology) Physician Anchorage, AK

Practice location

Address: 1220 F St, Anchorage, AK 99501-4347
Phone: (907) 802-3696
Fax: (907) 531-1303

Authorised official

Name: Willy Gama
Title: Authorized Official
Phone: (907) 802-3696

Registered specialties (3)

Pain Medicine (Anesthesiology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1033910195
Entity type: Organization
NPI issued: 24 Mar 2025
Record last updated: 24 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.