NPI 1376916833
Renova Pain and Recovery Clinics, LLC
Practice location
- Address
- 2110 E Northern Lights Blvd, Anchorage, AK 99508-4154
- Phone
- (907) 707-9206
Authorised official
- Name
- John Douglas Zipperer
- Title
- Member/Manager
- Phone
- (907) 707-9206
Registered specialties (3)
Interventional Pain Medicine Physician
Primary
Addiction Medicine (Internal Medicine) Physician
Physical Medicine & Rehabilitation Physician
Registry record
- NPI
- 1376916833
- Entity type
- Organization
- NPI issued
- 5 Nov 2015
- Record last updated
- 5 Nov 2015
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.