OrganizationActive
Anchorage Dermatology & Cosmetics, LLC
NPI 1609420215 · Dermatology Physician · Anchorage, AK
Provider details
- NPI number
- 1609420215
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Courtney Bagayoko, Authorized Official(626) 353-3885
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
615 E 82nd Ave Ste 204
Anchorage, AK 99518-3159
Phone: (907) 865-8455
Fax: (907) 865-8464
Approximate (ZIP-level) locationGet directions
Mailing address
615 E 82nd Ave Ste 204
Anchorage, AK 99518-3159
Additional practice locations (1)
- 615 E 82nd Ave Ste 302Anchorage, AK 99518-3159Phone: (907) 865-8455Fax: (913) 246-4901
Registry dates
- Enumerated
- 2019-07-31
- Last updated
- 2022-01-03
- Certified
- 2022-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.