NPI 1760356208
Advanced Dermatology of Alaska LLC
Practice location
- Address
- 3066 E Meridian Park Loop, Wasilla, AK 99654-7254
- Phone
- (907) 357-2332
- Mailing address
- 1100 E Dimond Blvd STE 103, Anchorage, AK 99515-2001
Authorised official
- Name
- Blake Galler
- Title
- Owner
- Phone
- (817) 903-5886
Registered specialties (3)
Dermatology Physician
Primary
MOHS-Micrographic Surgery Physician
Pediatric Dermatology Physician
Registry record
- NPI
- 1760356208
- Entity type
- Organization
- NPI issued
- 29 Sep 2025
- Record last updated
- 25 Mar 2026
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.