Individual
WALDRON UPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4100 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5222
(907) 550-6110
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0489
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
260
AK
Other
Enumeration date
03/23/2007
Last updated
12/07/2007
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