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Individual

MS. MARIE MULDOON TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3650 PIPER ST, ANCHORAGE, AK 99508-4692
(907) 222-4624
Mailing address
3650 PIPER ST, ANCHORAGE, AK 99508-4692
(907) 222-4624

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1113
AK
363AS0400X
Surgical Physician Assistant
Primary
1113
AK

Other

Enumeration date
05/13/2013
Last updated
05/09/2017
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