176B00000X
Anchorage, AK
Specialty
176B00000X
Credential
CNM
NPI
1124015649
4115 Lake Otis Pkwy, Anchorage, AK 99508
(907) 563-1800Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 176b00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 176B00000X