NPI 1154363752

Aesthetica Medical Spa LLC

Organisation Dermatology Physician Anchorage, AK

Practice location

Address: 135 W Dimond Blvd STE 104, Anchorage, AK 99515-1907
Phone: (907) 562-2275
Fax: (907) 563-7929
Mailing address: 200 West 34th Avenue Pmb 1008, Anchorage, AK 99503-5650

Authorised official

Name: Kelly Millen
Title: Owner
Phone: (907) 562-2275

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 432761 (AK)

Other Dermatology providers in Alaska →

Registry record

NPI: 1154363752
Entity type: Organization
NPI issued: 11 Jun 2006
Record last updated: 25 Mar 2021

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.