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Organization
DANIEL J MARDONES MD INC
Active
Organization
DANIEL J MARDONES MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J MARDONES MD (PRESIDENT)
(808) 965-7128
Entity
Organization
Contact information
Practice address
2523 DEBARR ROAD, ANCHORAGE, AK 99508-2948
(808) 965-7128
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
(907) 751-8142
(907) 561-7464
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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