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Organization
MATT A. HEILALA, DPM INC.
Active
Organization
MATT A. HEILALA, DPM INC.
Active
Other names
Alaska Foot & Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MATT A. HEILALA D.P.M. (PRESIDENT)
(907) 569-3668
Entity
Organization
Contact information
Practice address
4100 LAKE OTIS PKWY, SUITE 312, ANCHORAGE, AK 99508-5222
(907) 569-3668
(907) 569-3669
Mailing address
4100 LAKE OTIS PKWY, SUITE 312, ANCHORAGE, AK 99508-5222
(907) 569-3668
(907) 569-3669
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
3497
AK
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
4087
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD3497
—
AK
05
—
PD5195
—
AK
Enumeration date
09/21/2006
Last updated
08/22/2020
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