Individual
GREGORY SCOTT HACKENBRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2741 DEBARR ROAD, SUITE 307, ANCHORAGE, AK 99508
(907) 646-2230
(907) 646-7949
Mailing address
510 W TUDOR RD, STE 5, ANCHORAGE, AK 99503-6649
(907) 743-0050
(907) 743-0060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2045
AK
Other
Enumeration date
12/03/2009
Last updated
08/09/2019
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