Individual
STACEY R NIEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2741 DEBARR RD STE 307, ANCHORAGE, AK 99508-2972
(907) 777-1850
(855) 468-1357
Mailing address
2741 DEBARR RD STE 307, ANCHORAGE, AK 99508-2972
(907) 777-1850
(907) 777-1800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4552
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152556
MCARE GROUP #
AK
05
—
MD6185
—
AK
Enumeration date
02/06/2006
Last updated
11/15/2024
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