NPI 1184232670
Advanced Medical Group
Practice location
- Address
- 135 W Dimond Blvd STE 104c, Anchorage, AK 99515-1907
- Phone
- (907) 691-4977
- Fax
- (907) 313-7450
- Mailing address
- PO Box 230508, Anchorage, AK 99523-0508
Authorised official
- Name
- Marina Igorevna Lupas
- Title
- Manager
- Phone
- (907) 691-4977
Registered specialties (9)
Dermatology Physician
Primary
MOHS-Micrographic Surgery Physician
Dermatopathology Physician
Clinical & Laboratory Dermatological Immunology Physician
Pediatric Dermatology Physician
Procedural Dermatology Physician
Family Medicine Physician
Clinic/Center
Urgent Care Clinic/Center
Registry record
- NPI
- 1184232670
- Entity type
- Organization
- NPI issued
- 21 Jul 2020
- Record last updated
- 28 Jan 2022
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.